REP26597

• Permit No: M2000034
• IBM Index Class Name: Report
• Doc Date: 4/30/2002
• Doc Name: 2002 Annual Report
• From: Western Mobile Northern Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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RECEI\/ED
ANNUAL FEE and REPORT REpUEST
APR 3 0 2002
Division of Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Western Mobile Northern, Inc.
M-2000-034
Loveland Pit
April 30, 2002
$688.00 (Due on or before your anniversary date)
Larimer
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'year,~-new disturbances'tharare=anticip'ated-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 report mau 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 pemuttee contact information. Please verify and make any necessary
changes:
Permittee Contact: Greg Miller
Permittee Name: Western Mobile Northern, Inc.
Address: 1800 N. Taft Hill Rd.
P.O. Box 2187
Fort Collins, CO 80522
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:V'ERMITN7ASTERD000MENTSNI-AF-01