2005-11-14_REPORT - M1985082

• Permit No: M1985082
• IBM Index Class Name: Report
• Doc Date: 11/14/2005
• Doc Name: Annual Fee/Report/Map
• From: Pioneer Sand Company Inc
• To: DMG
• Media Type: D
• Archive: No

~?F - ~°P.
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
'Pioneer Sand Company, Inc.
x/17-1985-082
Rock Pit Mine
December 30, 2005
elI111
v SOU 1 ! 2005
-/V :ivlam,~ c. P.:I,,,.:,.{a is iaolnpi
$281.00 (Due on or before your anniversary date)
Moffat
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 submi4_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 root revised written anm.al rennrt and annual re~{prt maw to this fnrm_ 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:
Permittee Name:
Address:
Phone Number:
Fax Number:
Joe Kraig
Pioneer Sand Company, Inc.
P.O. Box 7650
Colorado Springs, CO 80933
[phone]
[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. Annua] Report instructions are enclosed.
ND i9~Tlv.Tj ifs ~~~T-~~•9/~,
Signa Corey e Officer caner, or Designee
11~~.s~ ~2 s~"
Date