2004-06-23_REPORT - M1987164

• Permit No: M1987164
• IBM Index Class Name: Report
• Doc Date: 6/23/2004
• Doc Name: Annual Fee/Report/Map
• From: Connell Resources Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNfiAi, FF.F, and RF.PnRT RF.OiiF.ST
Connell Resources, Inc.
M-1987-164
Camilletti Pit
June 18, 2004
$688.00 (Due on or before your anniversary date)
Routt
RECEIVED
JUN 131004
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,
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 year, the dates for the beginning
of active operations, and the date active operations ceased far the year, if any.
Please attach ymrr reviced written annnal re,Pnrt and anmral repnrf main 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: Tony 'o~rt[eH~ /`r ~' ~ ~Or~`ss °Y
Permittee Name: Connell Resources, Inc.
Address: P.O. Box 882590
Steamboat Springs, CO 80488
Phone Number: [phone]
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.