2003-01-14_REPORT - M1981236

• Permit No: M1981236
• IBM Index Class Name: Report
• Doc Date: 1/14/2003
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ECEIVED
JAN 1 4 2003
Division of Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Raymond C. Petersen
M-1981-236
Colorado River Ranch Gravel Pit
March 29, 2003
$688.00 (Due on or before your anniversary date)
Grand
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 attachynnr revised written annual rennet and annual refit m ~n 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: Raymond C. Petersen
Permittee Name: Raymond C. Petersen
Address: P.O. Box 832
Kremmling, CO 80459
Phone Number: [phone]
Fax Number: [phone]
1f 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.
M:\PERMITMASTERDOCUMENTSVN-AF-01