2006-05-22_REPORT - M1986048

• Permit No: M1986048
• IBM Index Class Name: Report
• Doc Date: 5/22/2006
• Doc Name: Annual Fee/Report/Map
• From: Reese Contracting
• 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:
t~ ANNiiAi, FF.F, and REPt7RT RF.QiiF,ST
'~ Reese Contracting
/ M-1986-048
Nicholson Gravel Pit
May 22, 2006
RECEB!!ED
MAY 2 2 1006
~Oivision of Minerals end Geelo~y
$688.00 (Due on or before your anniversary date)
Morgan
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
-- -lard-rcclamation-accomplished 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 ymir revised written annnal rennrt and anmral re~nrf main 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: Galen Reese
Permittee Name: Reese Contracting
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Phone Number:
Fax Number:
Atwood, CO 80722
[phone]
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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.
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Srgnature of Corporate Officer, Owner, or Designee
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Date
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