2003-01-27_REPORT - M2000099

• Permit No: M2000099
• IBM Index Class Name: Report
• Doc Date: 1/27/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNiiAT. FFR and RF.PnRT RF.nI1F,ST
Marilyn E. Vazquez, Bruce A. Diamond
M-2000-099
Pit Number One
February 9, 2003
RECE6VED
JAN 21 2003
Division of Minerals and Ceelogy
$281.00 (Due on or before your anniversary date)
Chaffee
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-t. R-attd-map-shcwring-the-extent-o€-current-disusbances-to-afFected-land,--
reclamation accomplished to date and during the preceding year, new disturbances [hat 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 ynnr revised written anneal renort and anneal rennrt man to this form. 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: Marilyn E. Diamond
Permittee Name: Marilyn E. Vazquez, Bruce A. Diamond
Address: 26520 CR 301
Buena Vista, CO 81211
Phone Nmmber: [phone]
~ - - -Fax Number: - -(7-19) 395-8670
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
Date
M:~PERMITVNASTERDOCUMENTSUvt-AF-01