2003-01-28_REPORT - M1977151

• Permit No: M1977151
• IBM Index Class Name: Report
• Doc Date: 1/28/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
JAN 28.2003
PERMI'ITEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Division of Minerals and 8ao1oAY
R M Hiner Construction Co., Inc.
M-1977-151
Greeley Pit
January 30, 2003
$688.00 (Due on or before your anniversary date)
Weld
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the pennit, an operator
shall submit the annual fee, a report and map showing [he extent of current disturbances to affected land,
to a • omp is e~ic Tti ad-FFe and- unng a prece mg year, new is r antes t a are annctpate 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 ynnr revised written annual re~nrt and annnal repnr m to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following pennittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Rex M. Hiner
Permittee Name: R M Hiner Construction Co., Inc.
Address: 2220 "O" St
Greeley, CO 80631
Phone Number: [phone]
Fax Number [phone]
Mailin>? Address:
11 Austin Road
Lamar Colorado 51052
719/336-3467
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.
~D(~G,10" tL ~ ~l Uwe.
Signature of Corporate Officer, Owner, or Designee
January 27, 2003
Date
M:NERMIN1ASTERD000MENTSUI-AF-01