REP25364

• Permit No: M1977136
• IBM Index Class Name: Report
• Doc Date: 2/15/2002
• Doc Name: 2002 Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Rio Blanco County
M-1977-136
Prather Pit
February 23, 2002
RECEIVED
FEB 15 2002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Rio Blanco
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each. year, on the anniversary date of the permit, an
operator shall submit the annual fee, a report and map showing the extent of current disturbances [o affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated [o
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual report man to this form. Please note that on
adequateiy labeled map that clearly delineates and includes the above elements may suffice for a rvritten
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact:. 3$rxyt86ee1$t Ron
Permittee.Name:.. Rio Blanco County ;:
Address: 570 2nd St.
Meeker, CO 81641
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.
Signature of Corporate Officer or Owner
Date
M:\PER M ITIMASTEIt DOCUM ENTSNI-AE-W