2003-06-11_REPORT - M1982011

• Permit No: M1982011
• IBM Index Class Name: Report
• Doc Date: 6/11/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEaVE®
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Jo Ann Vota
M-1982-011
Hillyer Pit
June 24, 2003
$281.00 (Due on or before your anniversary date)
San Juan
JUN 1 1 2003
Division of Minerals and Geology
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,
rec amauol- n accomplis tied 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.
PI as at a hrnnr revised written anneal re~rf and anmral rennrt ma+ to this form. Please note 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:
Permittee Contact: Joanna Vota
Permittee Name: Jo Ann Vota
Address: P.O. Box 3142
Durango, CO 81302
Phone 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.
Signa e of Corporate fficer, Owner, or Designee
Date
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