2001-04-24_REPORT - M1983139

• Permit No: M1983139
• IBM Index Class Name: Report
• Doc Date: 4/24/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: Pioneer Sand Company, Ioc. RFC~~~
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PERMIT NO.: , M-1983-139
OPERATION NAME: Leyden Pit 'QPt~ ~ 4 2~~~
ANNIVERSARY DATE: April 23, 2001 Division a(Minerals and Csoloyy
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Jefferson
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the perniit, 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 upcoming 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.
Please attach your revised written annual resort and annual report maa to this form. Please note that arr
adequately labeled ntap that clearly delineates and includes d7e above elements rnuy suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Joe Kraig
Permittee Narne: Pioneer Sand Company, Inc.
Address: P.O. Box 7650
Colorado Springs, CO 80933
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.
Signe re o~ orate9f r r or Owner
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Date
M.~PER M nU1ASTERD000A~NTSVv1-AF-0 I