2001-12-17_REPORT - M1979189

• Permit No: M1979189
• IBM Index Class Name: Report
• Doc Date: 12/17/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

III llllllllllllllll
ANNUAL FEE and REPORT REQUEST
RECEIVED
DEC 17 2001
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Superior S&G c/o Rio Grande Co
M-1979-189
Superior S & G Pit
January 13, 2002

Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Arapahoe
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 your revised written annual report and annual report map to this form. Please note that an
adequately labeled map that clearly delineates mtd includes the above elements may since for a written report.
Division records indicate the following permi[tee contact information. Please verify and make any necessary
changes: n
Permittee Contact: Bren~J Broekemeier
Permittee Name: Superior S&G c/o Rio Grande Co
Address: 201 Santa Fe Dr.
Denver, CO 80223
Phone Number: (303) 825-221 ]
Fax Number: [phone]
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[f you have additional comments and/or information [ha[ should be provided to [he Division, please provide i[
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
tgnature of Corporate Officer or Owner
Date
M ~PERMITMASTERDOCUAIENTSU1-AF-01