2007-10-18_REPORT - M2003001

• Permit No: M2003001
• IBM Index Class Name: Report
• Doc Date: 10/18/2007
• Doc Name: Annual Fee/Report/Map
• From: Hall-Irwin Corporation
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL F and REPORT REQUEST
PERMffTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~ll-Irwin Corporation
M-2003-001
Nissen Farm Resource
November 21, 2007
Dlvl$lo~ et
--talnl„a an~~~lArr,
$$791.00 (Due on or before your anniversary date)
Weld
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 showin 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 vour revised written annual resort and annual resort maa to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
maa. If no new disturbances or reclamation have occurred during the previous vear and no new chances to
the previous year's man are necessary. then no new moo is required. provided that the Operator shall state
this in the Annual Report. Please 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: JeffCnegg
Permittee Name: Hall-Irwin Corporation
Address: 301 Centennial Dr.
Milliken, CO 80543
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be
below or attach//i~~t to this form al {oI(~n1'g with your written repor(1t am\d map.
tVO I"~l,~l~ 1CT\V~~~ tl\W'{"LI
Signa ref Corpor~ ~ ficer, Owner, or Designee
lolialo-~
Date -~~-~
provided to the Division, please provide it
Annual Report instructions are enclosed.
2008'