2003-07-14_REPORT - M1997011

• Permit No: M1997011
• IBM Index Class Name: Report
• Doc Date: 7/14/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME: Baculite Mesa LLC RECEIVE
PERMIT NO.: M-1997-011 JUL 1 4 2C~3
OPERATION NAME: Baculite Mesa Pit
~fYision of Minerzls and Geolutly
ANNIVERSARY DATE: July 9, 2003
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Pueblo
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,
aeclamation-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 Ynnr revised written anneal rennrt and anneal re~nrt m ~n in this form. Please note that an
adequately labeled map that clearly delineates and includes the above elemeuts may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Fred J. Orr
Petmittee Name: Baculite Mesa LLC
Address: 5040 Acoma
Denver, CO 80216-2010
Phone Number: [phone]
~ f
Fax Number: [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.
of,G~rporate Officer, Owner, or Designee
11 16
Date
M:~PERM nVAASTERDUCUMENTSVN-AF-01