2006-05-03_REPORT - M1989044

• Permit No: M1989044
• IBM Index Class Name: Report
• Doc Date: 5/3/2006
• Doc Name: Annual Fee/Report/Map
• From: The Clare Corporation
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~ ANNiIAi. FFF. and RF,PORT RF, i( i~ F.ST
The Clare Corporation
i/ M-1989-044
Twin Crk Campground
April 10, 2006
RECE~~/E~
MaY a3 zoo
Jj Division of Mlnerole end OeolapY
$281.00 (Due on or before your anniversary date)
Teller
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 extent of 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 attach XDnr revised written annnal report and annnal reAnrt m ~M this form- Please note that an
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:
Permittee Name:
Address:
Harold E. Clare, II
The Clare Corporation
P.O. Box 1
Florissant, CO 80816
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
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Signature of Corporate O rcer, Owner, or Designee
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Date F/-f~/ ~~+---t/--~R/-