2001-02-12_REPORT - M1994006

• Permit No: M1994006
• IBM Index Class Name: Report
• Doc Date: 2/12/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
M Peter Schrepfer
~~~~
Emerald Vista Estate
FEB 1 2 2001
March 11, 2001
Division of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Las Animas
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on [he anniversary date of [he permit, an
operatorshall submit the annual fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished [o date and during the preceding year, new di`sturbarices that are anticipated to
occur during the upcoming year, reclamation that will be nerfomied during [he coming year, the dates for [he
beginning ofactive.operations, andthe date active operations ceased for the year, if any. -,. - .;,. r,;;~:::r. c,~:.:~ :;.- ; i;.,
Please attach your revised written annual~reatitt and annua! resort maa to this form. p(case note that ur.
udequn[ely labeled tnup that clearly delineates and includes Ilre above elernems rncry suffice jot n x~ri[[err
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Frank Leone, Jr.
Permittee Name: M Peter Schrepfer
Address: 502 S. Walnut
Trinidad, CO 81082
Phone Number: [phone]
Fax Number. [phone]
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If you have additional comments and/or inforntatiort 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.
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Signature of Corporate Offic r or Owner
..
Dale
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