2001-09-18_REPORT - M1989010

• Permit No: M1989010
• IBM Index Class Name: Report
• Doc Date: 9/18/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
RECEIVED
PERMITTEE,NAME: Pete Lien and Sons, Inc. 2001
PERMIT NO.: M-1989-010 5EP 1
OPERATION NAME: Weaver Quarry Division of Minerals and GeologY
ANNIVERSARY DATE: September 20,2001
ANNUAL FETE DUE: $688.00(Due on or before your anniversary date)
COUNTY: Larimer
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 upzoming 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 rote 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: Lecia Craft
Permiuee Name: Pete Lien and Sons, Inc.
Address: P.O. Box 767
Rapid City, SD 57709-0440
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 fo long with your written report and map. Annual Report instructions are enclosed.
Signature of Corpord e Officer or Owner
�I O
Date
M'TERMHW AS TERD0CUMENTS\M-AF-01