REP23222

• Permit No: M2001015
• IBM Index Class Name: Report
• Doc Date: 5/10/2002
• Doc Name: 2002 Annual Report
• From: Las Animas County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

1~ECEIVED
MAY 10 2002
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Las Animas County
M-2001-015
Sandoval Land and Cattle Pit
May 17, 2002
$281.00 (Due on or before your anniversary date)
Las Animas
Division of Minerals and Geology'
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~ubmit_the_annuaLfee._a.report_and_map_showing_tlte~e~ent_9f_currenL 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 [he date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report man to this form. Please note that an
adequately labeled map that clearly delineates and inclades 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: Phil Dorenkamp
Permittee Name: Las Animas County
Address: 2000 N. Linden Ave.
Trinidad, CO 81082
Phone Number: [phone] - `
Fax Number: [phone]
If you have additional comments and/or information [hat should be provided to the Division, please provide i[
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
Signature of C orate ffice r Owner
2 4Z
Date
M:NERMI'I VMASTERDOCUMEMSU4-AF-05