2001-01-30_REPORT - M1977319

• Permit No: M1977319
• IBM Index Class Name: Report
• Doc Date: 1/30/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL PEE and„RFPORTIWOUEST RECEIVED
PERNITTEE NAlvib: Persolite Products,Inc. JAN 3 0 2001
PENN IT NO.: M-1977-319 Division of Minerals and Geology
OPEN A71ON NAME: Swallow Perlite Mine
ANNI MWY DATE: November 22,2000
ANNS AL FEE DUE: $225.04(Due un ur betum yuur annlvernary date)
COUNTY: Custer
Aeco trig to C.R.S. 34-32.5.116 or C.R.S. 34-32-116, each year, on the anniversary date of tlw permit, an
opera�r shall submit the mutual fee, a report and map showing the extsnt of current disturbances to affected
land, ry�cIamation accomplished to dot arfdduring tha pmetding year, new disturbnnces that are anticlpated-to
oceur Iduring the upcoming year, reclamation that will be performed during the eoming year, the dates for the
beginning of active operations,and the date active operations ceased for the year,if arry.
PlInj attach Ywr revised writtart annual report and annual reiport man to this form, Please note that an
adequ rely labeled map that clearly delineates.and includes the above elements Play suffice for a written
re
Divisi n records indicate the following pertnittee contact information. Please verify and make uny necessary
then
Permi Contact: Wclmcl M.Steiner O , M IC14 A LL ". S L71A)
Perms Name: Persolite Products,Inc.
Address: P.O.Box S05
I
201 S. Rohimon
Ftnrence, r.r1 91776
Phone Number [phone] _
Fax Wi Prither- (114)-7R4-6A4;S
If youbay* addisieaal oatutnonta and/or information that should be proridod tv tlw ViV13i4u, yicaac yav-«Ic it
below or attach ft to thit forth along with your written report and map, Annual Report instructions bra
CACIOBW.
Signs ro of Corptirafti Officer or Owner
Dare
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