Laserfiche WebLink
t <br />ANNUAL FEE and PORT REQUEST <br />PERMITTEE NAME: ?Doseph Curtis Harden <br />PERMIT NO.: -2004-008/?" <br />OPERATION NAME: The Mountain Mining Claim <br />ANNIVERSARY DATE: October 28, 2010 <br />ANNUAL FEE DUE: $$259.00 (Due on or before your anniversary date) ' <br />COUNTY: Clear Creek <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the annive ary date of the permit, an <br />Q XL o and mI -showing th-gextent oOuWent-disturbanoes to-affected <br />- operator strati mit the amp fee, a re <br />land reclamat accomplished to da nd during the preceding year)(newcisturbances that arejj? icipated to <br />occur during the upcoming yearlf ation that will be performed during the coming yea??the?dtes for the <br />beginning of active operation4(an e date active operations ceased for the yeal if any. <br />Please attach vour revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map If no new disturbances or reclamation have occurred during the previous year and no <br />new chances to the previous vear's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: <br />Permittee Name <br />Address <br />Phone Number: <br />Fax Number: <br />Joseph C. Harden <br />TashMli c? N'4 <br />Joseph Curtis Harden .7 o s 4,ow a &,,4 'T) 5- /4 R o <br />P.O. Box 1207 <br />Idaho Springs, CO 80452 <br />(303) 567-2259 <br />j7 0. P-t X 1 2. 0 -7 <br />? 04140 SJ-6 l,o- Gs, Go. <br />8 o yst <br />303- r67-.-A- .usq <br />A <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Sf natur of Corporate Officer, Owner, or Designee <br />10- 13- '20/0 <br />Date <br />M: \PERMITUviAS TERDOCUM ENTS/M-AF-02. DOC