REP28961

• Permit No: M1992007
• IBM Index Class Name: Report
• Doc Date: 4/1/2002
• Doc Name: 2002 Annual Report
• From: Moffat County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIIIED
APR 0 1 1001
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Moffat County
M-1992-007
Tuttle Pit No 1
March 5, 2002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Moffat
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an
operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
- - land-recfamat-'on-acw:rpl:shed-ta-date-ancf-during-the-preceding-yest-rrwv-disturbanees-that-are-amicipated-to-=-- -
occur during [he upcoming year, reclamation that will be performed during the coming year, [he dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report. No Map Necessary
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: L~wwtitr3exes ~t ~.~~ ~ • M r~C.~
Permittee Name: Moffat County
Address: P.O. Box 667
Craig, CO 81626
Phone Number:
Fax Number:
[phone]
[phone]
If you have additional comments and/or information that should be provided to [he Division, please provide i[
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
Stockpile Reduction Only - 1`io Map Necessary
,$i~tur of t~QrpCdfate Officer or Owner
tics Y 1tYn1Sa KK (Supervisor) Moffat County Road Department
~ -ll -off
Date
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