2001-04-25_REPORT - M1987171

• Permit No: M1987171
• IBM Index Class Name: Report
• Doc Date: 4/25/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

III IIIIIIIIIIIIIIII
ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: Kiewit Western Co. RECEIVED
PERMIT NO.: M-1987-171 APR 2 5 ^';;I
OPERATION NAME: Fountain Colony Pit
Division of Miner: :,,a,tci reB'4I®9Y
ANNIVERSARY DATE: May 9,2001
ANNUAL FEE DUE: $550.00(Due on or before your anniversary date)
COUNTY: EI Paso
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 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 an
adequately labeled Wrap that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Tony Collins
Permittee Name: Kiewit Western Co.
Address: 7926 S. Platte Canyon Rd.
Littleton, CO 80128
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.
Signatu of Cor rate Officer or Owner
14 Z4 D
Date
M.NERM IT MASTER DOCUMENTSW-AF-0I