2003-09-12_REPORT - M1983060

• Permit No: M1983060
• IBM Index Class Name: Report
• Doc Date: 9/12/2003
• 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:
Thornburg Family Limited Partnership
M-1983-060
Thornburg Pit
September 27, 2003
$688.00 (Due on or before your anniversary date)
Adams
RfCf~VED
SEP 112p03
Division a(Minerals and Geology
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16_ each year, on the anniversary date of the permit, an operator _ _- _-_ ~
sTiall 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 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 red nrt and annual rennrt 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: Stanley Thornburg
Permittee Name: Thornburg Family Limited Partnership
Address: 50747 E. 38th Ave.
Bennett, CO 80102
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 form along with your written report and map. Annual Report instructions are enclosed.
.~-Ccc,vtwY ~~/ ~,~iwc.al~
Signature o Corporate Officer, Owner, or D signee
~~~-~~~~
Date
M:~PERMITNIASTERDpCUMENTSUI-AF-01