Laserfiche WebLink
<br />III II IIII III II II 1111111 <br /> <br />ANNUAL FEE and REPORT REQUEST <br />DEC 2 1 2001 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Gary K. and Sarah L. McNulty <br />M-1980-003 <br />McNulty Cinder Pit <br />January 23, 2002 <br />RECEIVED <br /> <br />Division of Minerals and GealoAY <br />$281.00 (Due on or before your anniversary date) <br />Eagle <br />According [o C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />- iecfamation accomplished-to date arid-during the preceding year, new aisntrbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. Please note that art <br />adequately labeled map that clearly delineates mtd includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Perrnittee Contact: Sarah L. McNulty <br />Permittee Name: Gary K. and Sarah L. McNulty <br />Address: 777 County Road 100 <br />S~dRAM L. R` ~yLi~ <br />_Ty K. + S'A QA H (, . h' tJ v t_T Y <br />1~}'1 ~est..~'~.. I~~ . I O U <br />~~,.bo~.aalp ~ _ ~rczz . <br />Carbondale, CO 81623 <br />Phone Number: (970) 963-4829 ~ ~ow_ t a{ <br />Fax Number: (970).963-4829_ _ _ _ _ _ ~i"10 q b`3 ~$ Z~ - <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~~ ~ ~ ~~~ <br />Signature of Corporate Officer or wn <br />11. I f U <br />Date <br />M:IPERMI"MIASTERDOCUM17EMSN1-AF 01 <br />~ Q l~e~.~ -,.~ 0.d~u1 SS <br />>- c4rrec.G~. 111.1'~I <br />~{- ~1b'- <br />~°I^^,~ t S n~a <br />