2005-09-28_REPORT - M1998013

• Permit No: M1998013
• IBM Index Class Name: Report
• Doc Date: 9/28/2005
• Doc Name: Annual Fee/Report/Map
• From: Hall-Irwin Corporation
• To: DMG
• Media Type: D
• Archive: No

:`
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Ft~ ° ~r'i
//Hall-Irwin Corporation'~Y
vM-1998-013
The Shores
October 1, 2005
~b Vl/t
RECEIl~,~~:.
vSEP 2 8 20~
Division of Miuc~,,., ,,, __
$688.00 (Due on or before your anniversary date)
Weld
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 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 y~r revised written anneal report and anm~al rennrt tl~n 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: Jeff Gregg
Permittee Name: Hall-Irwin Corporation
Address: 301 Centennial Dr.
Milliken, CO 80543
Phone Number. (996}5$9=9-299
Fax Number: (i}76}$5~-6~8#'
70 ' S8~• 7Z7
9~0 - S8)- 7Z$5
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this fotrn along with your written report and map. Annual Report instructions are enclosed.
uate
~ I