2001-10-19_REPORT - M1998013

• Permit No: M1998013
• IBM Index Class Name: Report
• Doc Date: 10/19/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
RECEIVED /16
PERMITTEE NAME: Hall-Irwin Construction Co.
PERMIT NO.: M-1998-013 OCT 19 2001
OPERATION NAME: The Shores Division of Minerals and Geology
ANNIVERSARY DATE: October 1,2001
ANNUAL FEE DUE: $688.00(Due on or before your anniversary date)
COUNTY: Weld
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 16,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 and includes the above elenrents may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: 4e€F6regg �;F Q ALN>
Permittee Name: Hall-Irwin Construction Co.
Address: P.O. Box 519
Greeley,CO 80632
Phone Number: [phone]
Fax Number: [phone]
If ou ha additional conupents and/or infonnation that should be provided to the Division, please provide it
b low or tach it to this f along with your written report and map. Annual Report instructions are enclosed.
'k
Signature of Corporate Officer or Owner
Date
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