REP35094

• Permit No: M2000089
• IBM Index Class Name: Report
• Doc Date: 10/7/2002
• Doc Name: 2002 Annual Report
• From: Randy Perdue
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMTT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Randy Perdue
M-2000-089
Perdue
October 4, 2002
$281.00 (Due on or before your anniversary date)
Boulder
RECEIVED
OCT 0 7 2002
Division of Minerals and Geology
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,
region accompitshe to date and during the preceding year, new disturbances that are ant~cipdfed-to~eur-'-'
during the upcoming year, reclamation that will be performed during the coming year, [he dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach vour 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:
Permittee Contact:
Permittee Name:
Address:
Phone Number:
Randy Perdue
Randy Perdue
2853 Stone Canyon Rd.
P.O. Box 1026
Lyons, CO 80540
[phone]
Fax-Number
T~~ 5.2~ ~~t~Fr~
If you have additional comments and/or information that should be provided to [he Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
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Signature of Corporate Officer, Owner, or Designee
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Date
M:~P ERM n Vv1 ASTERDOC U M ENTS~ht-AF-01