2005-06-16_REPORT - M1985115

• Permit No: M1985115
• IBM Index Class Name: Report
• Doc Date: 6/16/2005
• Doc Name: Annual Fee/Report Notice
• From: j pat and lila n greer
• To: dmg
• Media Type: D
• Archive: No

RECEIVED
~~~.; . -
PERMTITEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
J Pat and Lila N Greer
M-1985-115
Greer Pit
June 25, 2005
$281.00 (Due on or before your anniversary date)
La Plata
D'rvisim,,.,...,.~~a,ia4Eywyr
_. ~.. 162005
Division ai MinElEls~6ea1:
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 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 XQur revised written anm.al report and annnal re~nrt maT to this form. Please note that an
adequately labeled map [hat clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: J. Pat Greer
Permittee Name: J Pat and Lila N Greer
Address: 8097 CR 100
Hesperous, CO 81326
Phone Number: [phone]
Fax Number:
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.
J, /O.t~ ; y~~c.
Si afore of C-erparetemr, Owner, or-Bgsig~e
- /~f - Dui
Date