2005-09-06_REPORT - M1983052

• Permit No: M1983052
• IBM Index Class Name: Report
• Doc Date: 9/6/2005
• Doc Name: Annual Fee/Report/Map
• From: Mining and Minerals Ltd.
• To: DMG
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Mining and Minerals, Ltd.
~I-1983-052
Joker Mine
September 1, 2005
~EP ~ 6 2005
9i~~ision of Mineraw ....
$550.00 (Due on or before your anniversary date)
Moftat
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
operator shall submit the annual fee, a report and_map_showing_the_extentof_current_disturbances_to_affected-
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attaeh~onr revised written annnal report and annnal rept r~ t m ~n to this form. Please note that mt
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Barbara R. Chalmers
Permittee Name: Mining and Minerals, Ltd.
Address: 8115 Preston Rd, Ste 680
Dallas, TX 75225
"Phone Number:'-'(214)-691=2032
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
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Sign ua ret of Corporate Officer, Owner, or Designee
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Date
M:~PERMI7IMASTEADOCUMENTS/M-AF-02.DOC