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REP38638
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REP38638
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Entry Properties
Last modified
8/25/2016 12:21:20 AM
Creation date
11/27/2007 8:08:12 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985105
IBM Index Class Name
Report
Doc Date
7/10/2002
Doc Name
2002 Annual Report
From
Lincoln County
To
DMG
Permit Index Doc Type
Annual Fee / Report
Media Type
D
Archive
No
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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Lincoln County <br />M-1985-105 <br />Harold Eichman Gravel Pit <br />August 6, 2002 <br />RECEIVED <br />1UL t <br />Givisian of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Lincoln <br />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 <br />_-_ __operator shall_submit_the.annual_fee,_a_report and.mao showing the_extent_of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, [he dates for the <br />beginning of active operations, and the date active operations ceased for [he year, if any, <br />Please attach vour revised written annual report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information Please verify and make any necessary <br />changes: <br />Permittee Contact: Don Blake <br />Pemuttee Name: Lincoln County <br />Address: P.O. Box 39 <br />Phone Number: <br />Fax Number: <br />Hugo, CO 80821 <br />(719)743-2337 <br />(719)743-2815 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signature of Corporate Officer or Owner <br />~2~5 `n z <br />Date <br />M:~PERM I7IMASTERD000MENTSVN-AF-04 <br />
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