REP03398

• Permit No: M1992017
• IBM Index Class Name: Report
• Doc Date: 3/24/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Montrose County
M-1992-017
BLM/West End Pit
April 24, 2003
$688.00 (Due on or before your anniversary date)
Montrose
MAR 2 4 1003
division ~f Minerals and Geology
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 resort 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 ~~r revised written annual report and annnal report main 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: Brian Wilson
Permittee Name: Montrose County
Address: 161 S. Townsend
Montrose, CO 81401
--- _ 'Phone Number: ~ [phone]
Fax Number: [phone]
If you have additional cotnments 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.
Signature of Corporate Officer, Owner, or Designee
c~ // ~~ /O
Dates 7
M \PERMITVNASTERDOCUMENTSVv1-AF-04