2004-03-10_REPORT - M1991123

• Permit No: M1991123
• IBM Index Class Name: Report
• Doc Date: 3/10/2004
• Doc Name: Annual Fee/Report Notice
• From: Bill Kobobel
• 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:
Bill Kobobel
M-1991-123
Idaho Creek Resource
N
f~~f~kY~'~k~
MAR 1 0 2004
March 10, 2004 piyision of Minerals and Gealagy
$688.00 (Due on or before your anniversary date)
Weld
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator
snail submit-the annual-fee,-a-report and-map--sheaving -the- extent-e~cursent_disturbances to_affecled 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 Xp~nr revised written annnal report and annual re,~tnrt main fn this form- Please note [hat an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Bill Kobobel
Permittee Name: Bill Kobobel
Address: 7909 WCR 5
Phone Number:
Fax Number:
Longmont, CO 80504
[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.
Date