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REP12822
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REP12822
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Entry Properties
Last modified
8/24/2016 11:43:22 PM
Creation date
11/27/2007 1:02:09 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1984117
IBM Index Class Name
Report
Doc Date
1/18/2000
Doc Name
ANNUAL REPORT
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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<br />~~C ~~~ ~~~~~~~~~~~~~ ~~~ <br />JAN 1 „ _ 999 <br />)ivision of Minerals 6 Gealo9Y <br />ANNUAL REPORT <br />PERMITTEE NAME: Fremont County <br />PERMfp NO.: IvI-1978-096 <br />OPERATION NAME: Coaldale Gravel Pit <br />ANNNERSARY DATE: January 20, 2000 <br />7'1111 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Fremont <br />According to C.R.S. 34-32-11(i(3)(a), each yeaz, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during; the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach vaur revised annual report map and written report to this annual resort. <br />Please note that an adequately labeled map that clearly delineates and includes the above <br />elements may suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name:_ 'FFz+a ~tio Company: t~~v~iL~t¢..~iaC. <br />Address: Q~O~uje. 3~g PhoneNo.:( i`'tOl )942-4\}43 <br />~~-t-oPfkXl , lsy Q~vZ.L=i FAX No.: (}-°! ) ~4Z-41'~Q~ <br />If there aze additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />Signature of Corg>orate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:~PERM mMASTER DOCUM Errl'SN7-AF-Oi <br />
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