2004-05-17_REPORT - M1997098

• Permit No: M1997098
• IBM Index Class Name: Report
• Doc Date: 5/17/2004
• Doc Name: Annual Fee/Report/Map
• From: P C Management Inc.
• 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:
P C Management, Inc.
M-1997-098
Flag Creek Mine
March 30, 2004

RECEIVED
MAY 17 2004
Division of Minerals & GeoloAY
$688.00 (Due on or before your anniversary date)
Rio Blanco
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
-s;irrl-suhr,.it-tl:~ amual-fee,-a repc;:-snd-map-shos:~ing tL~ e~ctent of-cw~rei:t distuir~.nc:.s-to-affected-;and,-
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 ymn• revised written anneal report and anmral re nn rt man to this form- 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 pennittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Paul Coleman
Permittee Name: P C Management, Inc.
Address: 7020 Young Rd. NW
Olympia, WA 98502
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 along with your written report and map. Annual Report instructions are enclosed.
gnature o orpo to Officer, Owner, or Designee
Date