REP02222

• Permit No: M2004017
• IBM Index Class Name: Report
• Doc Date: 9/19/2005
• Doc Name: Annual Report
• From: Willits Company Inc
• To: DMG
• Media Type: D
• Archive: No

11-SEP-2005 06:26 FROM-Colorado Division of Minerals i Geolosy
PERMIT7EE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
[phone] T-570 P.002/002 F-177
%~lNU~ ~ Rai ~ I s
/W/illits Company, lac. 7 t
(/M-2004017
Kattenberg Pit
July 1, 2005
RECE6~~'
~~99 SEP 1~~9 2005
~~bivision of Mine; as :,;,,; ;;,;,,t,,,.
$688.00 (Aae on or before your anniversary date)
Grand
According to C1L.S. 3432.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an
operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished to date and during the preceding yeaz, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will he performed during the coming year, the dates for the
begirming of active operadons, and the date active operations ceased for the year, if any.
Please attach year revised written anneal repnrr_ n~ d?nnn~ rep°rt m Tsn rbs form- please note that as
adequately labeled map that clearly delineates and includes the above elements may suffrce for a writters
report,
Division records indicate the following pennittee contact information. Please verify and nralee any necessary
changes:
Permittee Contact: Bob Willits _
Pamittee Name: Willits Company, Inc.
Address: P.O. Box 825
Cheyenne, WY 82003
Phone Number: [phone]
Fax Number:
Tf you have additional continents and/or information that should be provided to the Division, please provide it
below ar attach it to this form slang with your written report and map. Annual Report instructions are
enclosed- 1
y~1~~~h .l%~~> 0 r StriCUl~
Signature of Corporate Officer, Owner, or esignee
~' -~~' 'o~ - ... - -.
Date
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