2003-06-19_REPORT - M1987164

• Permit No: M1987164
• IBM Index Class Name: Report
• Doc Date: 6/19/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ECEIVED
Connell Resources, Inc.
M-1987-164
Camilletti Pit
June I8, Z003
JUN 19 2003
pivision ~t Minerals and GealogY
$688.00 (Due on or before your anniversary date)
Routt
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 accomp tshed 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 anneal rennrt and anm~al rennrt man 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: Tony Connell
Permittee Name: Connell Resources, Inc.
Address: P.O. Box 882590
Steamboat Springs, CO 80488
Phone Number: [phone]
ax um ev [phone]
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.
Officer, Owner, or Designee
Date
MiPERMnIMASTERDOCUMENTSU.I-AF-01