2000-10-27_REPORT - M1985165

• Permit No: M1985165
• IBM Index Class Name: Report
• Doc Date: 10/27/2000
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

• III IIIIIIIIIIIII III
999
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RECEIVED
OCT 2 72000
ANNUAL FEE and REPORT REQUEST
Division of Minerals aad Geology
Harold A Winter
M-1985-165
Winter Ranch Pit
November 26, 2000
$281.00 (Due on or before your anniversary date)
Las Animas
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE
ANNUAL FEE DUE:
COUNTY:
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an
operator shall submit [he annual fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished to date and during [he preceding year, new disturbances [hat are anticipated [o
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual report map to this form. Please note that art
adequately labeled rnnp that clem~ly delineates and includes dte above elements may since for a written
report.
Division records indicate the following perrnittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Harold A. Winter
Permi[[ee Name: Harold A Winter
Address: 20157 CR 75.0
Trinidad, CO 81082
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
J
Signature of Corporate Officer or Owner
/n~ ,2~'-- '~i1
Dale
M ~PERMRV.IASTERDOCl1MENT$N1-AF~01