REP22651

• Permit No: M1989009
• IBM Index Class Name: Report
• Doc Date: 3/13/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
J-Rude, Inc.
M-1989-009
J-Rude Inc
March 17, 2003
$281.00 (Due on or before your anniversary date)
Prowers
MAR 13.2003
8itrision ~f Minerals and Geology
shalt 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 renort and anneal re nn rt man 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: Rudy Torres
Petrnittee Name: J-Rude, Inc.
Address: 1750 CR HH
Lamar, CO 81052
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.
Officer, Owner, or Designee

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