2001-09-21_REPORT - M1991081

• Permit No: M1991081
• IBM Index Class Name: Report
• Doc Date: 9/21/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

• • iiiniiiiii
RECEIVED
ANNUAL FEE and REPORT REQUEST SEP 2 12001
PERMITTEE NAME: Charles Bud Keeling 11iv1s1onotMtnerals and geolog)
PERMIT NO.: M-1991-081
OPERATION NAME: Keeling Pit
ANNIVERSARY DATE: September 23,2001
ANNUAL FEI7 DUE: $281.00 (Due on or before your anniversary date)
COUNTY: Huerfano
According to C.R.S. 34-32.5-1 16 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 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 report and annual report man to this form. Please note that art
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: Sam M. Keeling Jr
Permittee Name: Charles Bud Keeling
Address: P.O. Box 361
LaVeta, CO 81055
Phone Number: [phone]
Fax Number:
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.
C '�
Signature of Corporate Offioeror Owner
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Datet Of
M 1PLRMFRMASTERD0�UMENTSW AF-01