2005-12-02_REPORT - M1977500UG

• Permit No: M1977500UG
• IBM Index Class Name: Report
• Doc Date: 12/2/2005
• Doc Name: Annual Report
• From: Russell D Neesham
• To: DMG
• Media Type: D
• Archive: No

v
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE an REPORT OUEST
' " R ell D Neesham
M-1977-500-UG
Peggie Mines
June 29, 2005
REEF:"F~~i.-:
DEC O Z 2005
Division of r.drte: sir ~~.
$225.00 (Due on or before your anniversary date)
Montrose
SSS
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 submit the annual_fee, a report and map showing the 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, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach vonr 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 suffice for a written report.
Division records indicate the following permittee contact information, Please verify and make any necessary
changes:
Permittee Contact: Russell D. Neesham
Permittee Name: Russell D Neesham
Address: P.O. Box 314
Nucla, CO 81424-0314
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.
ySignature of Corporate Officer or Owner
/VD's/ .2~1 GLJ
Date