2004-05-24_REPORT - M1985072

• Permit No: M1985072
• IBM Index Class Name: Report
• Doc Date: 5/24/2004
• Doc Name: Annual Fee/Report/Map
• From: Gunnison County
• 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:
Gunnison County
M-1985-072
Taramarcaz Pit
June 26, 2004
,a~x
RECEIVE®
MAY 2 41004
Division of Minerals and GealoAY
$281.00 (Due on or before your anniversary date)
Gunnison
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 anticipafed 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.
Please attach y„ .r reviced written anmral rennrt and anmral report maT 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:
Permittee Name:
Address:
Marlene D. Crosby
Gunnison County
811 Rio Grande
Gunnison, CO 81230
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.
Si lure of Corporate Officer, Owner, Designee
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Date 1
M:~PERMITU-IASTERDOCUMENTS~M-AF-04