2001-07-30_REPORT - M1986025

• Permit No: M1986025
• IBM Index Class Name: Report
• Doc Date: 7/30/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

• III IIIIIIIII IIII III •
999
ANNUAL FEE and REPORT REQUEST 4c
PERMITTEE NAME: R E Monks Construction Co. n`ckll
PERMIT NO.: M-1986-025 J14 3 C
OPERATION NAME: Mitchell Mine No 1 Dtytst0oofmill ?�Q
ANNIVERSARY DATE: July 29, 2001 ant/ 010o
ANNUAL FEE DUE: $281.00(Due on or before your anniversary date)
COUNTY: El Paso
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 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 your revised written annual report and annual report map to this form. Please note that an
adequately labeled map that cleariv 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:
Penmittee Contact: Dennis Good
Permittee Name: R E Monks Construction Co.
Address: P.O. Box 25579
Colorado Springs, CO 80936
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.
C�Ar27'
Signat�rpor ffi r or Owner
Date
M WERPI P W ASTERDUCUMENTMM AF 01