2001-09-18_REPORT - M1977002HR

• Permit No: M1977002HR
• IBM Index Class Name: Report
• Doc Date: 9/18/2001
• Doc Name: Annual Fee/Report Notice
• Media Type: D
• Archive: No

IIIIIIIIIIIIIIIIIII RECEIVED
SEP 18 2001
ANNUAL FEE and REPORT REQUEST Division of Minerals and Geology
PERMITTEE NAME: Colorado Lien Company
PERMIT NO.: M-1977.002-HR
OPERATION NAME: Munroe Gypsum Quarry
ANNIVERSARY DATE: September 16,2001
ANNUAL FEE DUE: $688.00(Due on or before your anniversary date)
COUNTY: Larimer
According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-1 16, 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 for the year, if any.
Please attach your revised written annual report and annual report map 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: Lecia Craft
Permittee Name: Colorado Lien Company
Address: P.O. Box 767
Rapid City, SD 57709
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attac ' t his form along with your written report and map. Annual Report instructions are enclosed.
ignature of orate Officer or Owner
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Date
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