2006-01-30_REPORT - M1980248

• Permit No: M1980248
• IBM Index Class Name: Report
• Doc Date: 1/30/2006
• Doc Name: Annual Fee/Report/Map
• From: Moffat County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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RECE~~E~
/JAN 3 O 2006 /ANNiiAi, FF.F. and RF.PnRT RF.(IiTFST ,1
Division of Minerals and Geology
PERMITTEE NAME: i/Moffat County
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
V M-1980-248
Lyons Pit No 2
February 4, 2006
6 ~
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$688.00 (Due on or before your anniversary date)
Moffat
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 '
eperator-shall-submit-the-srmual-fee,-a-repent-and-map-showing-the-extenhof-current disturbances-:o-affected
]and, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to I
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 anm~al rennrt and anneal re n~ rt mytp to this fnrm_ please note that an
adequately labeled map 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: Billy E. Mack
Permittee Name: Moffat County
Address: P.O. Box 667
Craig, CO 81626
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. STOCKPILE REDUCTION AND RECLAMATION ONLY. NO SIGNIFICANT fNCREASE IN
DISTURBANCE. NO MAP NECESSARY.
Signatur Corporal/~ r, Owner, or Designee
Billy E. Mack, Director r1offat County Road & Bridge
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Date
M:~PERMITN7ASTEADOCUMEMSVv1-AF-04