2001-08-23_REPORT - M1999071

• Permit No: M1999071
• IBM Index Class Name: Report
• Doc Date: 8/23/2001
• Doc Name: ANNUL FEE AND REPORT REQUEST
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Pulpit Rock Investments, LLC
M-1999-071
"B" Street Project -North Pit
September 16, 2001

~II II~II~II~II~~ II~
RECEIVED
AUG 2 3 2001
Division of Minerals and Geology
$281.00 (Due on or before your anniversary date)
EI Paso
~~
According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
shall submit [he annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during [he preceding year, new disturbances [ha[ 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 resort and annual resort map to this form. Please note that an
adequately labeled rnap that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Jerry Novak
Permittee Name: Pulpit Rock Investments, LLC
Address: 6385 Corporate Dr., Ste. 200
Colorado Springs, CO 80919
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information [hat 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.
azure Corporate Officer or Owner
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Date

M:~PERM mMASTERDOCUMENTSUI-AF-01