2005-07-25_REPORT - M1998038

• Permit No: M1998038
• IBM Index Class Name: Report
• Doc Date: 7/25/2005
• Doc Name: Annual Fee/Report/Map
• From: kirkland construction rllp
• To: dmg
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO,:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Kirkland Construction, RLLP
M-1998-038
Two Rivers
August 3, 2005
$688.00 (Due on or before your anniversary date)
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Diriaion of Minarals & Go
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_ According-to.C.R.S._3_4-32S=LI6_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,
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 your revised written anmral red nrt and annual report man to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Joe C. Baxter
Permittee Name: Kirkland Construction, RLLP
Address: 2101 Main St.
P.O. Box 580
Rye, CO 81069
~._P.honeNumber:~_.(~I9).489-3385_--~____-_
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.
afore of Corporate Officer, Owner, or Designee
~- ~- 0.5
Date