2002-01-28_REPORT - M1983158

• Permit No: M1983158
• IBM Index Class Name: Report
• Doc Date: 1/28/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: M J Cadgene RECEIVED
PERMIT NO.: M-1983-155 JpN 2 8 2002
OPERATION NAME: Cadgene Pit
Division of Minerals and Geology
ANNNERSARY DATE: January 30, 2002
ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date)
COUNTY: Montrose
~~
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. Pfe4se more 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:
Permi[[ee Contact M 1. Cadene
Permittee Name: M J Cadgene
Address: P.O. Box 10
Redvale, CO 81431
Phone Number: [phone]
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 forth along with your written report and map. Annual Report instructions are enclosed.
Sign of Corpor Officer or Owner
~ ~- O
Date
M.W ERM 1"I V.IASTERD000AtENTSUI-AF-01