2003-01-15_REPORT - M1994092

• Permit No: M1994092
• IBM Index Class Name: Report
• Doc Date: 1/15/2003
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME: Fremont County ~~1.~/~~®
PERMIT NO.: M-1994-092 ~A~ ' S
1003
OPERATION NAME: Iron Mountain Road Gravel Pit
ANNIVERSARY DATE: January 23, 2003 Oiuision of Minerals and Geology
ANNUAL FEE DUE: ~28L000(Dnc on or before your anniversary date)
COUNTY: Fremont
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
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated [o
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.
Please attarh yn ~r r vic d writ n anneal r tort and annual re nn rt main fn Chic form. Please note that an
adequately labeled map that clearly delineates and nacludes the above elements may saeffice for a written
report.
Division records indicate the following pemvttee contact information. Please verify and make any necessary
changes:
Permittee Contact: Paul Garrett
Permittee Name: Fremont County
Address:
Fremont County Commissioners
615 Macon Ave., Room #105
Canon City, CO 81212
_, ~ Phone Number_
Fax Number:
[phone]
[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 o~ rporate Officer, Owner, or Designee
('- ~- ~-3
Date
M:~PERMITU/ASTERDOCUMEMSIM-AF-04