REP22655

• Permit No: M1991082
• IBM Index Class Name: Report
• Doc Date: 3/19/2002
• Doc Name: 2002 Annual Report
• From: Tiger Timber Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Tiger Timber, Inc.
M-1991.082
Tiger Timber Site
March 17, 2002
$281.00 (Due on or before your anniversary date)
Teller
RECEIVED
MAR 19 2002
Division of Minerals and Geology
According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-116, each yeaz, 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 renort map 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: Frank Laughrey
Permittee Name: Tiger Timber, Inc.
Address: P.O. Box 128
Lake Geotge, CO 80827
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.
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Signature wa € ner
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Date
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