2005-10-17_REPORT - M1987038

• Permit No: M1987038
• IBM Index Class Name: Report
• Doc Date: 10/17/2005
• Doc Name: Annual Fee/Report/Map
• From: Gosney & Sons Inc.
• To: DMG
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~psney & Sons,Inc.
M-1987-038
Bayfield Pit No. 1
November 15, 2005
RECEIVED
CT 17 2005
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iaision of Minerals and Geology
$688.00 (Due on or before your anniversary date)
La Plata
Y According to C.R.S. 3432.5-1 l6 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
shall submit the a'nnua] fee, a report and map sSowing the extent of currerit~distu'rbances-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 anmral re~nrt and anneal report m ~n to this form. Please note that 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: Don Gosney
Permittee Name: Gosney & Sons, Inc.
Address: 6699 CR 521
Bayfield, CO 81122
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.
Signature of Corporate fficer, Own r Designee
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Date