2001-11-27_REPORT - M1978279

• Permit No: M1978279
• IBM Index Class Name: Report
• Doc Date: 11/27/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Flag Resources,lnc.
M•1978-279
Goldman Gravel Pit
November 22, 2001
$281.00 (Due on or before your anniversary date)
Garfield
NOU 2 7 2009
Division of Minerals and Geologq
According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-I 16, 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 rur
ndeyuntely labeled amp that e[enrly delurentes and inchtdes the above elernetrts nmy since for n K rrtten report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permit[ee Contact: Fred Frei
Permittee Name: Flag Resources, Inc.
Address: 1412 CR 31 I
New Castle, CO 81641
Phone Number: [phone]
Fax Number: [phone]
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.
Signature of Corporate Officer or Owner
Dale
A7. W ERh1rM7A5TERD000M ENTSV.I-AF-01