2006-06-15_REPORT - M1985115

• Permit No: M1985115
• IBM Index Class Name: Report
• Doc Date: 6/15/2006
• Doc Name: Annual Fee/Report/Map
• From: J Pat and Lila N. Greer
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
/ANNiiAi, FF.F and RF.Pt1RT RF.t7iiFST
J Pat and Lila N Greer
r/M-1985-115
Greer Pit
June 25, 2006
//JUN 152006
' u~violon of Minerals and Geology
$281.00 (Due on or before your anniversary date)
La Plata
ryi~
- According to C.R:S.- 34-32:5-1-16.o*-C,R:S. 3432-1-16, each-year,an-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 active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual red nrt and anm~al report main to this form. please note [hat 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;
Permittee Contact: J. Pat Greer
Permittee Name: J Pat and Lila N Greer
Address: 8097 CR 100
Hesperous, CO 81326
Phone Number:_. _.- [phone]
Fax Number: _
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.
,~' Ou o a~~~'
gnature of Corporate Offtcer, Owner, or Designee
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Date