2001-07-24_REPORT - M1977459

• Permit No: M1977459
• IBM Index Class Name: Report
• Doc Date: 7/24/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

VAY"-24-01 01'44P4 FROM-Colorado Division of Mineral; i Geology [phone] T-205 P 006/ III IIIIIIIIIIIII III
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ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: Lake County RECEIVED
PERMIT NO.: M-1977-459 JUL 2 4 1QJ�
OPERATION NAME: Lake County Grav Pit UIvISipOp{
ANNIVERSARY DATE. July 8, 2001 Minerals andCeology
ANNUAL FEE DUE: $688.00(Due on or before your anniversary date)
COUNTY: Lake
According to C.R S 34-32.5-116 or C.R.S. 3d-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, 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 acu-c operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map to this form. Please tore 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:
Permiuee Contact Lake County Commissioners
Permntec Name Lake County r`�"
Address. P.O. Box 964 t.
P-o - B� 9G
Lcadville,CO 80461
Phone Number. [phone]
Fax Number. [phone]
If you have additional comments and/or information that should be provided to the Division, please provide if
below or attach it to this form along with your written report and map Annual Report instruction are
enclosed.
Si Lure of Corpora a Officncr
Date
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