2006-03-29_REPORT - M1995009

• Permit No: M1995009
• IBM Index Class Name: Report
• Doc Date: 3/29/2006
• Doc Name: Annual Fee/Report/Map
• From: Fisher Sand and Gravel Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNiiAi, FF.F, and RF.PnRT RF,niTFST
t/ Fisher Sand and Gravel Co.
M-1995-009
Fosse Pit
Apri15, 2006
MAR 2 J 2006
~ Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Kit Carson
116, each year, on the anniversary date of the permit, an operator
snap subma the annual tee, a repon ana map snowing the extent of current ats[uroances to ar[ec[ea tang,
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 ynur revised written annual rennrt and annual re nrt m ~n to this fnrm_ 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 permit[ee contact information. Please verify and make any necessary
changes:
Permittee Contact: Ray Leahy
Permittee Name: Fisher Sand and Gravel Co.
Address: P.O. Box 1120
Spearfish, SD 57783

._Phone-Number: -[phone]- -- - --- - - - - - - - _ - _ ----
Fax Number: [phone] ,-~
If yo a addition o ents and/or information that should be provided to the Division, please provide it
b w or tarylt~ this fo ~>~ with your written report and map. Annual Report instructions are enclosed.
Owner, or
Date
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