2001-03-12_REPORT - M1994108

• Permit No: M1994108
• IBM Index Class Name: Report
• Doc Date: 3/12/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

III IIIIIIIIIIIII III
ANNUAL FEE and REPORT REQUEST
?ECEIV !,
PERMITTEE NAME: Noland,Inc. 4% 9 q 20011
PERMIT NO.: M-1994-108 7
WNN,o9=of Minerals and Geology,
OPERATION NAME: Cedar Point 0i
ANNIVERSARY DATE: March 7,2001
ANNUAL FEE DUE: $688.00(Due on or before your anniversary date)
COUNTY: Montezuma
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 up:,'ninQ 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:v.:
Please attach Vour revised written annual report and annual report map to'this form.—Please note i.hct
adequately labeled map that clearly delineates and includes the above elements nary suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Rick Noland
Permittee Name: Noland, Inc.
Address: 40325 St. Hwy. 160
1P:)0'83101% 00 (onGer— I-)aye Q P.D. &)e
Mancos, CO 81328
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.
Q'.-\"- �l
SignaturegCorporate Officer or Owner
-L(1► .Jo i
Date
M TERMITWIASTERDOCUMENTSIM-AF-01