2002-01-23_REPORT - M1983090

• Permit No: M1983090
• IBM Index Class Name: Report
• Doc Date: 1/23/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

iii iuiiiiiiiiu iii
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Hall-Irwin Corporation
M-1983-090
La Poudre Sand & Gravel
January 17, 2002

~~ ~~
~T
Date
RECEIVED
JAN 131Q01
Oiuision of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Weld
According to C.R.S. 34-32.5-I 16 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 your revised written annual report and annual report map to this form. Please note that ntt
adequately labeled map that clearly delineates and includes the above e[ernents may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: deff~6rrgg-
Permittee Name: Hall-Uwin Corporation
Address: 3026 4th Ave.
Greeley, CO 80631
Phone Number: (970) 352-60$7
Fax Number:
)1~1~~F~i21~3n/r~
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.
~v~
a ure o Corporate O ficer or Owner /A~
M1t:WERh11Th7ASTERD000MEI•fI'SV.1-AF OI