2003-01-17_REPORT - M1983158

• Permit No: M1983158
• IBM Index Class Name: Report
• Doc Date: 1/17/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECESVED
PERMITTEE NAME: M J Cadgene SAN ~ , ?003
PERMfT NO.: M-1983-158 01vtS10° °t Minerals and Geology
OPERATION NAME: Cadgene Pit
ANNNERSARY DATE: January 30, 2003
ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date)
COUNTY: Montrose
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,
-' ~-reclamatis~raccompli3t-ieo`rsdate and-ctui[ng'thc preceding year, law-disturbances that-aye-an~tpated'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.
Please attach yonr revised written anneal report and annual report man 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: M J. Cadene
Permittee Name: M J Cadgene
Address: P.O. Box 10
Redvale, CO 81431
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.
Sign of Corpor Off c~ er, Owner, or Designee
- ~~~ /~~
Date
M 1PERM ITNIASTERDOCUMENTSNI-AE-01