2002-02-04_REPORT - M1978107

• Permit No: M1978107
• IBM Index Class Name: Report
• Doc Date: 2/4/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMTI' NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Moffat County
M-1978-007
Big Burn Pit No 17
February 23,2002
RECEIVED
FEB 0 4 2001
Di~isian of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Moffat
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 shawin~ the extent of current disturbances to affected
land, reclamation accomplished [o date and dwing the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation [hat 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.
P_I_cas_c attach tour revised written annual rcLort and annual report mop to [hie form_ Pleuve nnm rhnr nn
,r,lryuurrh hrbrlyd nurp that clruril~ drlrnrutr~ unr( urihrdc:~ rlrr ubnlr <i~,urnn nmc cu//rcc' /r,r ,r I~rrr~,,
report.
Division records indicate [he following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Dennis R. Jones
Permittee Name: Moffat County
Address: P.O. Box 667
Phone Number:
Fax Number:
Craig, CO 81626
[phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to [his form along with your written report and map. Annual Report instructions are
enclosed. Stockpile Reduction Gnly - i~o P~:ap D:ecessary
~~
S' re Corpor to fficer or Owner
~i~.~y ~. I-.ac~c Supervisor load i)epartment)
i~l~z
Date
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