2002-06-20_REPORT - M1977500UG

• Permit No: M1977500UG
• IBM Index Class Name: Report
• Doc Date: 6/20/2002
• Doc Name: 2002 Annual Report
• From: Russell D Neesham
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:

ANNUAL FEE and REPORT REQUEST
Russell D Newham
M-1977-500-UG
Peggie Mines
June 29, 2002
RECEIVED
JUN 2 0 2002
Division of Minerals and Geology
$225.00 (Due on or before your anniversary date)
Montrose
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'sutimit-the annual-fee,,-a report-and-map showing tfie extenC of cu~ren[ disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated [o
occur during the upcoming year, reclamation [hat 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 report and annual report map 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: Russell D. Newham
Permittee Name: Russell D Newham
Address: P.O. Box 67
Naturita, CO 81422
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide i[
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
of
Signature o brporate Officer or Owner
4 Z-
te
M:~PERMmMASTERD000MENTS/M-AF-02. DOC