REP15586

• Permit No: M1994081
• IBM Index Class Name: Report
• Doc Date: 12/13/2004
• Doc Name: Annual Report and Fee
• From: Ronald L Barrier
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~i
~o
PERMITTEENAME:'
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Ronald LBarrier -
M-1994-081
Peat Mine
December 21, 2004

- _ _ -_DEC 13 ?_C04
nfV~51L7 Lt t..f1'.: G: CS C40I0(v
$550.00 (Due on or before your anniversary date)
Alamosa
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 cun•ent disturbances to affected
land, reclamation accomplished'to date'arid 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 anneal report and anneal rennrt m~ 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: Ronald L. Barrior
Permittee Name: Ronald L Barrier
Address: P.O. Box 3
Alamosa, CO 81101
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 Repor[ instructions are
enclosed.
Signature of Corporate Officer, Owner, or Designee
`~~I-Oy
Date
M:~PERMI7IMASTERD000MENTS/M-AF-02.DOC