Laserfiche WebLink
<br />RECEIVED <br />APR 13 2003 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Gil Moser <br />M-1990-059 <br />Eldorado-Pilot <br />May 21, 2003 <br />$75.00 (Due on or before your anniversary date) <br />Ouray <br />Division ~t Minerals and Geology <br />According to C.R.S. 34-32.5-i16 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attac(Lynur revised written anneal rennrt and anneal report maT to this form- please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Gil Moser <br />Permittee Name: Gil Moser <br />Address: 705 Crestview Dr. <br />Farmington, NM 87401-9106 <br />Phone Number: (505) 860-1728 <br />Fax Number: (505) 564-9609 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your writ~ten~report and map. Annual Report instructions are <br />enclose ~`~,ryF~S "- <br />\\ Rood <br />Signature of Corporate Officer, Owner, or Designee <br />y zo ~ 03 <br />Date <br />M:~PERMITMASTERDOCUMENTS/M-AF-02. DOC <br />