2000-12-07_REPORT - M1988090

• Permit No: M1988090
• IBM Index Class Name: Report
• Doc Date: 12/7/2000
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

t.
III IIIIIIIII IIII III
ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
TWK Enterprizes Inc
-1988-090
Deer Trail Pit
December 7, 2000

r ~ , 7 200
Division of Minerals and GeoloAY
RECEIVED
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) DEC 0 7 2000
COUNTY: Arapahoe Division of Minerals end Ge~'~°~•
According [o 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 tlme 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, tlme 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 report maa to this form. Please rote lhar un
udequa[e1y Labeled map [hat clearly delit[eates and inchtdes the above elements may ,rtJfice jor u written
report.
Division records indicate the following pennittee contact information. Please verify and make any necessary
changes:
Pernmittee Contact: Wayne Pipkin
Permittee Name: TWK Enterprizes Inc
Address: P.O. Box 404
Byers, CO 80103
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attaclm it to tlmis form along with your written report and map. Annual Report instructions are
enclosed.
Signature of Cor rat O f r or Owner
~z-~_a6
Date
M:~PERM ITMASTERDOCUt~ff NTSVrm-AF-01