REP31779

• Permit No: M1976027
• IBM Index Class Name: Report
• Doc Date: 10/15/1999
• Doc Name: MLR PERMIT ANNUAL REPORT
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

A1V 1V U AL IiP.Y V n i
PERMITTEE NAME: Nielsons, Iuc.
PERMIT NO.: M-76-027
OPERATION NAME: Craig Gravel
ANNIVERSARY DATE: Juoe 17, 1999
ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00
COUNTY: La Plata
?ECEIVED
OC1" 15 ~ggg
_ : ,~ Minerah 8 Geology
According to C.R.S. 34-32-1 l6(3)(a), 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 your revised annual report map and written report to this
annual report. Please Hole that an adequately labeled map that clearly delineates and
includes the above elenten[s may sake for a written report.
Please type or print the current contact person's name, mailing address, and phone number in the space
provided:
Contact Name: Douglas L. Conger
Address: Post Office Box 1660
Cortez, CO 81321
Company: NIELSONS, 1NC.
PhoneNo.: [phone] X-113
Fax No.: [phone]
If there are additional comments and/or information that should be provided to the Division, please
provide it on a separate sheet and attach it to this report form along with your map and/or written report.
EFFECTIVE:
17 June 1999
Signature Corporate Offic r or Owner Date
INSTRUCTIONS ON BACK