REP29743

• Permit No: M1989065
• IBM Index Class Name: Report
• Doc Date: 4/28/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

t/
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Schmidt Construction Company
M-1989-065
Winkler Light Aggregate Quarry
April 26, 2003
$688.00 (Due on or before your anniversary date)
Douglas
RECEIVED
APR 2 8 2003
N~Yfsion o/Minerals and Geology
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
sh;~ll~ubmit the manual fee~a report and maw ho~ying_the extent- o~current_disturbances to_affecied_land~ - _
reclamation accomplished [o 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 attachyour revised written anneal report and anneal re nrt m n to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Scott Davis
Permittee Name: Schmidt Construction Company
Address: 2635 Delta Dr.
Colorado Springs, CO 80910
Phone Number: [phone]
Fax Number: ~''~~392..y Z~SI
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.
Signature of orporate Officer, Owner, or Designee
;~-r~,-G
Date
M:NERM ITUTASTERDOCUMENTSVA-AF-01