2001-10-04_REPORT - M2000089

• Permit No: M2000089
• IBM Index Class Name: Report
• Doc Date: 10/4/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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RECE'°e9ED
ANNUAL FEE and REPORT REQUEST OCT 0 4 2001
PERMITT'EE NAME: Randy Perdue Division of Minerals and Geology
PERMIT NO.: M-2000-089
OPERATION NAME: Perdue
ANNIVERSARY DATE: October 4,2001
ANNUAL FEE DUE: $281.00(Due on or before your anniversary date)
COUNTY: Boulder
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 your 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:
Pennittee Contact: Randy Perdue
Pennittee Name: Randy Perdue
Address: 2853 Stone Canyon Rd.
P.O. Box 1026
Lyons, CO 80540
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 dorporate Officer or Owner
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Date
M:%PERNITTN1ASTER DOCUM ENTSU4AF-01