REP04269

• Permit No: M1998054
• IBM Index Class Name: Report
• Doc Date: 10/17/2002
• Doc Name: 2002 Annual Report
• From: Rio Blanco County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Rio Blanco County
M-1998-054
East Douglas Creek Gravel Pit
RECEIVED
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October 5, 2002 Division of Minerals and Geology
$281.00 (Due on or before your anniversary date}
Rio Blanco
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
_ opera[oz_sltalLsuhmiL[he_annuaLfee, a-report-and-map-showing-the extent af-currant-disturbances to-affected-
land, reclamation accomplished [o date and during [he 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 vour revised written annual report and annual report map 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: Jerry Steele
Permittee Name: Rio Blanco County
Address: 570 2nd St.
Meeker, CO 81641
umber. --(970)-878-560]---"_
Fax Number: [phone]
If 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.
Signa re of Cotp ate Officer, Owner, or Designee
do Faber 2 DZ
Date
M:NERMnN1 ASTERDOCUMENTSUI-AF-04