2005-11-28_REPORT - M1980239

• Permit No: M1980239
• IBM Index Class Name: Report
• Doc Date: 11/28/2005
• Doc Name: Annual Fee/Report/Map
• From: Moffat County
• To: DMG
• Media Type: D
• Archive: No

fir`-,~r
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
'//Moffat County
dM-1980-239
Sweeney Pit No 30
December 19, 2005
c~M
RECEIVEQ
~ov2s~
~ivision u. ,,,..,_.,..... . ~ . „~y
$688.00 (Due on or before your anniversary date)
Moffat
According to C.R.S. 3432.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an
_ onerator shall submit the annual fee a report and map showing the extent of cunent disturbances to affected _
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 xpnr revised written anneal re~nrt and anmial report maw 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 permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Billy E. Mack
Permittee Name: Moffat County
Address: P.O. Box 667
Phone Number:
Fax Number:
Craig, CO 81626
[phone]
[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.
Reclamation on BLM portion on lJest side. Stockpile reduction only on East side.
Signature of~ orporate Officer, Owner, or Designee
November 9, 2005
Date
M:NERMIT~MASTERDOC(1MENTSN-I-AF-04