2006-03-14_REPORT - M1982112

• Permit No: M1982112
• IBM Index Class Name: Report
• Doc Date: 3/14/2006
• Doc Name: Annual Fee/Report/Map
• From: Rick Hunt
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
rn / (.tF
/ ANNi1Ai, FF.F. and RF.PTTRT RF. T(~ ST
Rick Hunt
/M-1982-112
Miller Gravel Pit
March 11, 2006
RECEIVED
~ MAR 14 2006
vdivision sf Minerals end Gesla~y
$688.00 (Due on or before your anniversary date)
Elbert
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,
reclamation accamplishzd-to'date-and-during-the~reccdingyear,-new-disturbances-Hrat-are-antieipated-to-aeeur-
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 your revised written annual report and annual report maw 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: Rick Hunt
Permittee Name: Rick Hunt
Address: 43160 CR 17-21
Elizabeth, CO 80107 ~/p
Phone Number: [phone] ,~03 - (0~l(0 ~ / S(~ ~
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 Corpo e Officer, Owner, or Designee
~ -/D- o to
Date