2001-07-23_REPORT - M1986165

• Permit No: M1986165
• IBM Index Class Name: Report
• Doc Date: 7/23/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

- � �� � III IIIIIIIIIIIIIIII �
999
ANNUAL FEE and REPORT REQUEST
�ECEIV�C
PERMITTEE NAME: Sandco, Inc. JUL 2 3 2001
PERMIT NO.: M-1986-165
Geology
OPERATION NAME: Willow Bend 04sion of Minerals and
ANNIVERSARY DATE: August 27,2001
ANNUAL FEE DUE: $281.00(Due on or before your anniversary date)
COUNTY: La Plata
According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-116,each year, on the anniversary date oft ie permit, an operator
shall submit the annual fee, a report and map showing the extent of current disturban es to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that an anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the d ites for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map to this form Please note that an
adequately labeled rnap that clearly delineates and includes the above elements tnav since f r a Kvritten report.
Division records indicate the following permittee contact information. Please verify andl make any necessary
changes: ,(LO C11�t1rn�R - —%oMtsL
Permittee Contact: David D. Dillon
Permittee Name: Sandco, Inc.
Address: P.O. Box 4440
Durango, CO 81301
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to the Divis(On, please provide it
be or attach it to is form along with your written report and map. Annual Report instruc tons are enclosed.
Signature of Corporate Officer or Owner
7-
Date
M:IPERNIITWASTERD(KUAIENTSW AF 01