2001-02-26_REPORT - M1983208

• Permit No: M1983208
• IBM Index Class Name: Report
• Doc Date: 2/26/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST 999
RECEIVED
PERMITTEE NAME: Montrose County FEB 2 6 2001
PERMIT NO.: M-1983-208
OPERATION NAME: Shavano Pit Division of Minerals and Geology
ANNIVERSARY DATE: March 7,2001
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Montrose
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 cur-rent disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcornine year, reclamation that will be performed during the coming year, the datP,q for the
beginning of active;operations, and the date active operations ceased for the year;if any:h:t . •.,.: v
Please attach'your revised written annual report and annual report map to'this form: Please'note than -11
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following perrnittee contact information. Please verify and make any necessary
changes:
Perrnittee Contact: Brian Wilson
Permittee Name: Montrose County O
Addres . R8 hex--I389 141 6oc( ih T ,YLt e hA
Montrose, CO 81402
Phone Number: [phone]
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.
r of Corporate Officer or Owner
Date /-2 Q/
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