2005-10-27_REPORT - M1980143

• Permit No: M1980143
• IBM Index Class Name: Report
• Doc Date: 10/27/2005
• Doc Name: Annual Fee/Report/Map
• From: Neils Excavating
• To: DMG
• Media Type: D
• Archive: No

~~~~~~i'
ANNTJAT. FF.F, and RF.PnRT RF.t7T1F.ST
PERMITTEE NAME: ~Nei['s Excavating
PERMTf NO.: ~ -1980-143
OPERATION NAME: Texas Creek Grav Pit
ANNNERSARY DATE: October 27, 2005
ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date)
COUNTY: La Plata
r~
~OCT 2 ~ 2005

__ _According_tn_C.IL.S_34-32.5-11.6 or C.R.S. 34-32-1-16,--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 far the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach yanr revised written annual re~nrt and anm~al rep nn rt m ~n to this form. Please note that an
adequately labeled map 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: Bruce E. Neil
Permittee Name: Neil's Excavating
Address: 486 CR 515
Ignacio, CO 81137
Phone Number: [phone]
Fax Number: [phone] ~ ~h_~~k(J(~~. ~~/.1/~f ~~Qf*j
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, Owner, or Designee
Date