Laserfiche WebLink
RECEIVED <br />FEB 1 2 2003 <br />Division of Minerals and Geology ANNiJAf, FF.F. and REPORT RF.nfiF.ST <br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Tom and Regina Farmer <br />M-1983-159 <br />Gleason Pit <br />January 3Q 2003 <br />FEB 1 2 2003 <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Montrose <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of [he permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected ]and, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur ~ <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annual renort and anneal refit mad tr, this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Regina Farmer <br />Permittee Name: Tom and Regina Farmer <br />Address: P.O. Box 39 <br />Phone Number: <br />- - --Fax-Number: <br />Redvale, CO 81431 <br />(970)327-4316 <br />-(970) 327-0350- <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach i[ to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />-;~O'~5~ -- -- - --- - <br />Date <br />M:~PERMI7NIASTERD000MENTSNI-AF-01 <br />