REP10061

• Permit No: M1980112
• IBM Index Class Name: Report
• Doc Date: 7/11/2002
• Doc Name: 2002 Annual Report
• From: Rio Blanco County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

r
PERMITl'EE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Rio Blanco County
M-1980.112
Richard Bachman Pit
July 10, 2002
RECEOyED
JUL 1 1 2002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Rio Blanco
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, areportand-map-showing-the-extent-of current disturbances-to affected---
land, reclamation accomplished 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 yeaz, 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 man to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffrce for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Jerry Steele
Permittee Name: Rio Blanco County
Address: 570 2nd St.
Phone Number:
Fax Number:
Meeker, CO 81641
[phone]
[phone]

If you have additional conunents 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.
Si tore of rpora[e Officer or Owner
b~z6-2~
Dale
M:~PERM771MASTERD000M ENTSVN-AF-04