2003-06-11_REPORT - M1999033

• Permit No: M1999033
• IBM Index Class Name: Report
• Doc Date: 6/11/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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fiECEIbED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNPJERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Fremont County
M-1999-033
Howard Pit #1 & #2
May 26, 2003
JUN 1 1 2003
Division ~1 Minerals and Geology
$281.00 (Due on or before your anniversary date)
Fremont
.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
-op`erato7 steal[ submit the annual"fee, a report and map showing the extent of cur'renY 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 ~nr revised wri en ann gal rennrt and annual rennrt m ~n to this form. P/ease note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written
report,
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: CF.PR.contact first name CF.PR.COntaCl last name
PAUL GARRETT
Permittee Name: Fremont County
Address: 615 Macon Ave., Room #105
Canon City, CO 8]212
_~ __~ ~ ~ ~ - - ^-- - ~..-t _-_
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 instmetions are
enclosed.
Phone Number:
Fax Number:
[phone]
[phone]
[phone]
[phone]
Si afore of Corporate O rcer, O ner, or Designee
Y .3'v~e ' o~
Date
M:IPERM171MAS7ERD000MEN75V.4-AF-04