2001-04-16_REPORT - M1985014

• Permit No: M1985014
• IBM Index Class Name: Report
• Doc Date: 4/16/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

~i
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:

~II II~~I~II~I~I~ II~
999
ANNUAL FEE and REPORT REpUEST
Bent County
M-1985-014
Bonnie Earl Pit
April 12, 2001
RECEIVED
giPR 16 2001
Division of Minerals and Geology
$281,00 (Due o0 or before your anniversary date)
Bent
According to C.R.S. 34-325-116 or C.R.S. 34-32-116, each year, on the anniversary da~e 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 year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming ye~r, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map [o this form. (IPlease note shat on
adequately labeled map that clenrly delineates and includes the above elements may sli+ffice for a written
report.
Division records indicate the following permittee contact information. Please verify and ~ake any necessary
changes:
Permittee Contact: Virley Burkhalter
Permittee Name: Bent County
Address: P.O. Box 350
Las Animas, CO 81054
Phone Number: [phone]
Fax Number: (71:Qlt4fi6»E8s2ri
Frank Brant wil_lsucceed me for 2001
Bent County
719-456-0375 i
If you have additional comments and/or information that should be provided to the Divisio~please provide it
below or attach it to this form along with your written report and map. Annual Repo instructions are
enclosed.
Sigtature Corporate Officer or Owner
Date
M.NERMITNIASTERDOCUMEMS W -AF-01