REP00808

• Permit No: M2000077
• IBM Index Class Name: Report
• Doc Date: 10/11/2001
• From: PK ENTERPRISES INC
• To: MLRD
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

OCT-O1-01 07:32AN FRGtI-Colorado Divic~on of tlinoralr i GoolosY [phone]
ANNUAL FEE end REPORT REQUEST
RECF" '`~D
PERMITTEE NAME:
PERMIT NO.;
OPERATION NAME:
ANNIVERSARY DATE:
ANIViJAI. FEE DUE:
COUNTY:
T-216 P.003/003 F-5/T

PK Enterprises, Inc. Ohllsion of Pdma• ~r 3nd Geology
M-2000-077
Mule Creek Pit
October 12, 2001
$688.00 (Due on or before your anniversary date)
Teller
According to C.R.S. 34-32.5-115 or C.R_S. ?d-32-116, each year, on the anni•ersary daze of the pemv[, an operator
shall submit the annual fee, a report and snap showing the extent of current disturbances to affected land,
raclantation 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 elate active opttntions ceased for the year, if arty.
Please attach your revised written annual report and annual report meu to this form. Please note that an
adegttate[y labeled map that clearly detinsarss and inetudrs the above elements may suffice for a x•ritten report.
Division records indicate the following pertnittee conies[ information. Please verify and make any necessary
changes:
Pemtittee Contact-. Gregory A. Loop
Pertmttee Name: PK Enterprises, Inc.
Address: I 1113 W. }lvy. 24, Untt 2A
Divide, CO 80814
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments aodfor information that should be provided to the Division, please provide it
below or attach it to this form along with your written repon and trap. Anpual Report instructions are enclosed.
Signature of Corporate Officer o weer
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