REP28145

• Permit No: M1994114
• IBM Index Class Name: Report
• Doc Date: 9/11/2002
• Doc Name: 2002 Annual Report
• From: Nordyke Construction Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Nordyke Construction, Inc.
M-1994-114
Nordyke Pit No 2
October 5, 2002
SEP112~
Division of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Custer
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
~hall_submitthe_annual_fee,_a_report_and_map shnwing_the_extent_of_current distuchancee_to_affected_land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation [ha[ 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 annual resort and annual resort map to this form. Please note that an
adequately labeled maP that clearly delineates mul inclades the above elements may suffice for a written report.
Division records indicate the following petmittee contact information. Please verify and make any necessary
changes:
Permit[ee ContacC Arthur L. Nordyke
Permittee Name: Nordyke Construction, Inc.
Address: 5798 Hwy. 69 S.
Arthur L. Nordyke Pres.
Nordyke Construction Inc.
302 Main Street
res:57798 Highway 69 S.
Westcliffe, CO 81252
Phone Number: [phone]
719)783-2761
Fax Number: [phone] 719) 783-9589 -'-'
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.
(~ °~ ~/a~president
Signature of Corporate Officer, Owne~r/, or Designee
September 9,2002
Date
M 1PERMITUTASTERD000M ENTSU7-AF-O7