REP04486

• Permit No: M1980049
• IBM Index Class Name: Report
• Doc Date: 2/20/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME: Donald R Hart ~EL+~[ V~®
PERMIT NO.: M-1980-049
OPERATION NAME: Mott Gravel Pit FEB 2 O 11003
ANNPJERSARY DATE: February 18, 2003 Division of Minerals and Geology
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
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 ynnr revised written anneal red net and anneal re,Pnrt man 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: Donald R. Hart
Permittee Name: Donald R Hart
Address: 3500 Clear Fork Rd.
Crawford, CO 81415
Phone Number: _ [phone] _
Fax Number:
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.
Signature of Corporate OfFicer, Own r, or Designee
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Date
M iPERM ITNIASTERDOCUMEMSUI-AF-OI