REP14464

• Permit No: M1999063
• IBM Index Class Name: Report
• Doc Date: 8/16/2002
• Doc Name: 2002 Annual Report
• From: Luis M. Vasquez
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNPJERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Luis M. Vasquez
M-1999-063
Red Wolf Quarry
August 23, 2002
RECE!'VE®
AUG 16 Y00Z
Division of Minerals and'Deolo9Y
$281.00 (Due on or before your anniversary date)
Larimer
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
sltallsubmit_the_annual_fee, a report_and_map_shQwing_the extent_of current. disturbances to affected, land _ _
reclamation accomplished to date and during the preceding yeaz, 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 yeaz, if any.
Please attach vour revised written annual report and annual report map 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: Luis M. Vasquez
Permittee Name: Luis M. Vasquez
Address: P.O. Box 122
Phone Number:
Fax Number:
Lyons, CO 80540
[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 aze enclosed.
Signature of Corporate Officer or Owner
g- ly-oa
Date
M:~PERM17lMASTERD000MENTS~h7-AF-01