2004-06-25_REPORT - M1987143

• Permit No: M1987143
• IBM Index Class Name: Report
• Doc Date: 6/25/2004
• Doc Name: Annual Fee/Report/Map
• From: Joel Fennern & M R Gydesen
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMff NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Joel Fennern & M R Gydesen
M-1987-143
Gold Links Mine
July 13, 2004
$225.00 (Due on or before your anniversary date)
Gunnison
JUN ~ 5 2004
Uivizian of Minerals & Geoiugy
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
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 attarhynnr revised written anm~al rennrt and anmral report m to this form. Please note that an
adequately labeled map that clearly d~elin^ea-tes and inclµdes the above elements ma s ece for a written
report. '~}„ ~/~)o '~'qp_ (`~Zic~3c~-~`
Division records indicate t e following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Melvin R. Gydesen
Permittee Name: M R Gydesen
Address: 229 CR 11
Gunnison, CO 81230
Phone Number: [phone]
Fax Number:

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 long~witnh your ~w~r_itt~ie-n report d man=y-. p~,,nual Report instructions are
e~nc,/los~ed. l~Q. ~ti~~ ~VLQ ~/~" l~ ~~2,u~ S~ ~d~~^- ~I~--~D
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Signature of Corporate O icer, Owner, or Designee
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to
M:~PERMI'I~iv1ASTERD000MENTS/M-AF-02.DOC