2004-03-29_REPORT - M1980041

• Permit No: M1980041
• IBM Index Class Name: Report
• Doc Date: 3/29/2004
• Doc Name: Annual Fee/Report/Map
• From: James L. Treat
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

f~L

RECEIVED
MAR 2 9 2004
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME;
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
James L. Treat
M-1980-041
Rock Gulch Gravel Pit
April 3, 2004
$281.00 (Due on or before your auuiversary date)
Chaffee
Division of Minerals & 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 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 year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ymrr revised written anmral reAnrt and anneal rennrf maTtn 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: James L. Treat
Permittee Name: James L. Treat
Address: 225 "G" St.
Salida, CO 81201
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 S~is form along with your written report and map. Annual Report instructions are enclosed.
or Designee
March 22,
Date