2007-10-29_REPORT - M1977417

• Permit No: M1977417
• IBM Index Class Name: Report
• Doc Date: 10/29/2007
• Doc Name: Annual Fee/Report/Map
• From: Lance and Bob Barker
• To: DRMS
• 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:
ANNUAL FEE a d REPORT~R`'E UEST
Lance and Bob Barker ,%
M-1977-417
Sego Mine
November 1, 2007
REG~~vEO
OCT ,~ g P00I /
Division of ReGantatlorl,~
Mining and Sa/~y
$$259.00 (Due on or before your anniversary date)
San Miguel
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an
_ _operatoLShah_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 distur ances a are anticipated-t
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 your revised written annual report and annual report map to this form. The Annual
Report & Fee requirement is not met until we have received the following components: fee, report, and
associated map. If no new disturbances or reclamation have occurred durinc the previous year and no
new chances to the previous year's map are necessary, then no new map is required, provided that the
Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly
delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Lance Bazker
Permittee Name: Lance and Bob Barker
Address: P.O. Box 821
Lake City, CO 81235
Phone Number: [phone]
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.
Signature of Corporate Officer, Owner, or Designee
t~ _ `~,jl"p~
Date
M:~PERMI7IMASTERDOCUMEMS/M-AF-02.Ix7C