2005-09-19_REPORT - M1977546

• Permit No: M1977546
• IBM Index Class Name: Report
• Doc Date: 9/19/2005
• Doc Name: Annual Fee/Report/Map
• From: Brice F Lee & Phyllis J Lee
• To: DMG
• Media Type: D
• Archive: No

O1-SEP-2005 09:39 FROM-Colorado Division of Minerals i Gaolosy [phone]
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PER.MITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FBE DUE:
COUNTY:
Brice F Lce & Phyllis J Lee ~i-
1977-54G
Horvath Pit No I
July 2G, 2005
Y ~--CJ
RECEIVE
~EP 192005
Division of Minerals and Geology
$281.00 (Dne ott or before your anniversary date)
La Plata
According to C.R.S. 34-32,5-11G or C.RS. 34-32-11G, cash year, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and atop showing the extrnt of current disturbances to affected land,
reclamation accomplished to date and during the preceding yeaz, 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.
Pleasr attach vnnr rem vixetl written anm.al renorf and annual re alt rt mar_to this form_ Please naie that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following petmittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Brice F. Lec
Pernrittee Name: Brice F Lee & Phyllis J Lee
Address: 940 CR 119
Hesperus, CO 81326
Phone Number: (970)5$8-3369
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.
Signatur rporate fie , Owner, o esigttee
`~-/s=ow
Date