2004-09-17_REPORT - M1980037HR

• Permit No: M1980037HR
• IBM Index Class Name: Report
• Doc Date: 9/17/2004
• Doc Name: Annual Fee/Report/Map
• From: Pioneer Sand Company Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

Y'
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Pioneer Sand Company, Inc.
M-1980-037-I3R
Ingleside Quarry
October 1, 2004
RECEIVED
SEP 1 12004
Uiuision of Minerals and Geology
$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 yeah,--new'disturbances-that are anticipated 3o oocui-
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 anneal re~nnrt and anneal rennrt main M this form. 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: Joe Kraig
Permittee Name: Pioneer Sand Company, Inc.
Address: P.O. Box 7650
Colorado Springs, CO 80933-7650
Phone Number: [phone]
Fax Number: _
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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Si ~ ire o~orpo~~io ,Owner, or Designee
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Date