2003-10-03_REPORT - M2002059

• Permit No: M2002059
• IBM Index Class Name: Report
• Doc Date: 10/3/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Moffat County
M-2002-059
Sunbeam Pit #1
October 1, 2003
$688.00 (Due on or before your anniversary date)
Moffat
OCT032003
giviaion 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
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 annual rPnnrt and anneal rennrt ma= to this Tnrm. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Billy E. Mack
Permittee Name: Moffat County
Address: 822 E. Ist St.
P.O. Box 667
Craig, CO 81626
Phone Number [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided [o the Division, please provide it
below or attalch it to this~ak>ng-wish-year-written~~ort and map. Annual Report instructions are
Stockpile Reduction Only - No Map Necessary
Officer, Owner, or Designee
September 16, 2003
Date
M:WERMITU9ASTERD000MENTSVN-AF-04