Laserfiche WebLink
PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Permittee Contact: Wayne R. Giesy <br />Permittee Name: Midas Mining Company, Inc. <br />Address: P.O. Box 772 <br />Phone Number: (541) 929 -4170 <br />Fax Number: (541) 929 -4174 <br />Date <br />g- iv- /I <br />Philomath, OR 97370 <br />M:\PERMIT \MASTERDOCUMENTS/M- AF- 02.DOC <br />/a <br />ANNUAL FEE and REPORT REQUEST <br />Midas Mining Company, Inc. <br />/ M- 2001 -063 <br />Ophir Lode <br />September 23, 2011 <br />$259.00 (Due on or before your anniversary date) <br />Hinsdale <br />RECEAVEj <br />AUG 15 2011 <br />Division o .- e,.o rriation, <br />Mining and Safety <br />According to C.R.S. 34- 32.5 -116 or C.R.S. 34 -32 -116, each year, on the anniversary date of the permit, an <br />operator - sha}l- submit the -annual -fee,--a report nrap"show i a extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />If you have additional comments and/or information that ould be provided to the Division, please provide it <br />below or attach it to this form along with your written r ort and map. Annual Report instructions are .� <br />enclosed. 4/0 lnG�u d / r5 / r /v�m4.14 a /Alr2Gi4M <br />/ <br />/ /</O c:�4 v�21z !u¢.. C" /7 M 6G/ .7r ,t i � rr'� <br />Signatu of Corporate Officer, Owner, or Designee es Al s 1 /1.- 7'A /5 " ati-A '10 4 4 Apt- ,f / n,..-4, 1 <br />The i-ie4i0wt wG4a46 0 td /(NPR <br />1306 pSca a. /d, <br />