2002-01-30_REPORT - M1998091

• Permit No: M1998091
• IBM Index Class Name: Report
• Doc Date: 1/30/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST ~~\J
PERMITTEE NAME: Joseph L. and Arlene Cogan RECEOyE©
PERMIT NO.: M-1998-091
OPERATION NAME: Arnold Gulch .IAN 3 0 1002
ANNIVERSARY DATE: February 19,2002 UivisionofMineralsandGeology
ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date)
COUNTY: Chaffee
According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator
shall submit [he annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to dale and during the preceding year; new dismrbancesthat are-anticipated to occur - -
during [he upcoming year, reclamation that will be performed during the coming year. [he dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual resort and annual report map to this form. Please note that nn
adequately labeled reap thnt clearh~ delLteates and includes the nbove elements may ser~ce for n u~rttten report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permiuee Contact: Joseph L. Cogan
Permittee Name: Joseph L. and Arlene Cogan
Address: 24899 U.S. Hwy. 285
P.O. Box 113
Nathrop, CO 81236
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided [o [he Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
n
Sig azure of Co orate Officer or Owner
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Date
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