2001-05-21_REPORT - M1981022

• Permit No: M1981022
• IBM Index Class Name: Report
• Doc Date: 5/21/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

•..
-'~~ ~ III IIIIIIIIIIIIIIII •
999
,ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Connell Resources, Inc.
M-1981-022
Glass Gravel Pit
May 20, 2001
REC~-1~ED
MAY 2 1 2~0~
oiYision of Minerals and Ceet~f
RECr r°'FD
MAY 1 1 ~~
BiriSiOn o(Minerals and Geology
$550.00 {Due on or before your anniversary date)
Latimer
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 t.'ee, 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, amp the date active operations ceased for the year, if any.
Please attach your revised written annual resort and annual report map to this form. P/ease note that an
adequately labeled map that clearly delineates and includes the above elements nary suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: David E. Simpson
Permittee Name: Connell Resources, Inc.
Address: 4305 E. Harmony Rd.
Ft. Collins, CO 80528
Phone Number: [phone]
Fax Number: [phone]
]f you have additional comments and/or information [hat 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.
Signature of orpo fficer or Owner
_ ' ~ ~
Dale
M.~PE RMI7V.1ASTERD000 I.ff NTSV.A-AF-0 I