2001-12-20_REPORT - M1982155

• Permit No: M1982155
• IBM Index Class Name: Report
• Doc Date: 12/20/2001
• 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
DEC 2 0 2001
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Schmidt Construction Company
M-1982-155
Fountain Pit
December 31, 2001
$688.00 (Due on or before your anniversary date)
EI Paso
pivision of Minerals end GeolagY
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 the annual fee, a repots and map showing the extent of current disturbances to affected land,
- - -reclamation accomplished m-da[e-and dtiringZhe preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the corning 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 mote that art
adequately labeled rnap that clearly delineates and includes the above elements n:ay since for a written report.
Division records indicate the following petmittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Scott Davis
Permittee Name: Schmidt Construction Company
Address: 2635 Delta Dr.
Colorado Springs , CO 80910
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.
Sign sure o Corpora Officer or Owner
1/-~~
Date
M: W ER M ITM A ST ER DOC U M E NT'SU1-A F~ 01