REP27247

• Permit No: M1987024
• IBM Index Class Name: Report
• Doc Date: 4/15/2002
• Doc Name: 2002 Annual Report
• From: Robert D and Lavelle Corey
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMTTTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Robert D and Lavelle Corey
M-1987-024
Corey Gravel Pit #3
April 17, 2002
Division of Minerals and Deology
$281.00 (Due on or before your anniversary date)
Montrose
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 [he extent of current disturbances to affected land,
reclama[ior.-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, [he 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 resort maa to 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:
Permittee Name: Robert D and Lavelle Corey
Address: 62237 Spring Creek Rd.
Montrose, CO 81401
Phone Number: [phone]
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- -Fax Number-- - - - [phone] --- - ~ ~ -- - - ` , _ , - - - , _ - _-.- - ,- -I
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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nature o ate Officer or Owner
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Date
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