REP24389

• Permit No: M1983208
• IBM Index Class Name: Report
• Doc Date: 2/19/2002
• Doc Name: 2002 Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Montrose County
M•1983-208
Shavano Pit
March 7, 2002
$688.00 (Due on or before your anniversary date}
Montrose
FE8 J 9 2002
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 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-yeae,-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 vour revised written annual resort and annual resort map 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:
]?ermittee ContactC Brian Wilson
Permittee Name: Montrose County
Address: 16] S. Townsend
Montrose, CO 81402
Phone Number: [phone]
Fax Number: [phone]
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 of Corporate Officer or Owner
~~~~G Z
Dale
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