2001-02-23_REPORT - M1999011

• Permit No: M1999011
• IBM Index Class Name: Report
• Doc Date: 2/23/2001
• Doc Name: SALES RECIEPT
• From: DMG
• To: LYMAN RICHEY CORP
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:

ANNUAL FEE and REPORT REQUEST
Lyman-Richey Corporation
M-1999-011
Craig Pit
March 2, 2001
RECEIVED
FEB 2 3 2001
Division of Minerals and Geology
$438.00 (Due on or before your anniversary date)
Lincoln
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, reclatna[ion accomplished to date and during (he preceding year, new disturbances that are anticipated [o
occur during the upcoming year, reclamation that will be performed durng tiie wrni.-:g year, the dates for the
beginning of active operations, and the date active operations ceased for the year;•if any:.
'Plea'se attach vour revised written annual report and annual resort maa fo this form. Please note [hat an
ade9uately labeled Wrap tlrat clearly delineates and orcludes 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: Carl Roberts
Permittee Name: Lyman-Richey Corporation
Address: 4521 Howard Blvd.
P.O. Box 964
Columbus, NE 68601
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 form along with your written report and map. Annual Report instructions are
enclosed.
Signature of Corporate Officer or Owner
~/; 20~ ~
Date
M iP E RA1I lU7A ST E R DOC UMEN T SU7-AF-01