Laserfiche WebLink
• III 111111IIIIIIIIII596� <br /> 999 -• RECEIVED <br /> JAN 10.2001 <br /> ANNUAL FEE and REPORT REQUEST Division of Minerals and Geology <br /> PERMITTEE NAME: Gary K. and Sarah L. McNulty <br /> PERMIT NO.: M-1980-003 <br /> OPERATION NAME: McNulty Cinder Pit <br /> ANNIVERSARY DATE: January 23,2001 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: Eagle <br /> According to C.R.S. 34-325-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br /> beginning of active operations, and the date active operations ceased for the year, if any. <br /> Please attach your revised written annual report and annual report map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Pennittee Contact: Sarah L. McNulty SARkH L . P'l` ► V 4 7 <br /> Permittee Name: Gary K. and Sarah L. McNulty GARy K . + SARAN J_ Mc ,,_, <br /> Address: 7767 County Road 100 3141 (Oyhll _Road too J <br /> �ii,lbo•.�0.12 `r)tr7fA�y SC1623 <br /> Carbondale, CO 81623 <br /> Phone Number: (970)963-4829 �l.vke r G/a i <br /> Fax Number: (970) 963-4829 ° 10 0{63 �g Zq <br /> If you have additional comments and/or information that should be provided to the Division, please provide it <br /> below or attach it to this form along with your written report and map. Annual Report instructions are <br /> enclosed. <br /> # � �e(2se ►tor ae�Ksr Cortea�ik <br /> Signature of Corporate Icer or Owner 1t IS -7 1 1+ ` -716-1 <br /> I <br /> 0110-7 101 <br /> Date <br /> M TER ITMASTERDOCUNIENTSV.I-AF-01 <br />