2003-08-07_REPORT - M1978221

• Permit No: M1978221
• IBM Index Class Name: Report
• Doc Date: 8/7/2003
• Doc Name: Annual Fee/Report/Map
• 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:
D'Aun Mangus and LaTonne Mangus
M-1978-221
K-Bar-T Pit
August 23, 2003
$281.00 (Due on or before your anniversary date)
Rio Blanco
RECEIVED
AUG 0 7 2003
Division ~f Minerals and Geology
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
shall submit the annual-fee, a report and map showing the extent of current distur an"- c~ffecTed land
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual re~nrt and anneal rennrt m:~ to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: D Aun Mangus
Permittee Name: D'Aun Mangus and LaTonne Mangus
Address: 4160 CR 8
Meeker, CO 81641
-Shone nmher:~(970).8Z8-073.7 _ C~ ~-QJ-$ c~ ~=-o~~~~,
Fax Number: [phone]
(9~a~ gay - a13a
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 Corpora e O ~cer, ner, or Designee
~3 - O/ ~ 03
Date
M iPERMIi1MASTERD000M ENTSU-7-AF-OI