2004-12-20_REPORT - M1983158

• Permit No: M1983158
• IBM Index Class Name: Report
• Doc Date: 12/20/2004
• Doc Name: Annual Fee/Report/Map
• From: M J Cadgene
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNPJERSARY DATE
ANNUAL FEE DUE:
COUNTY:
M J Cadgene
M-1983-158
Cadgene Pit
January 30, 2005
$281.00 (Due on or before your anniversary date)
Montrose
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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
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 ymn• revised written anneal rennrt and anneal re~nrt maT to this form- 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: M. J. Cadene
Permittee Name: M J Cadgene
Address: P. O. Box 10
Redvale, CO 81431
Phone Number: [phone]
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Fax Number: (
[phone] ~ I ~1D) `~J,Z `T - ~- Z24 - --
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.
owner, or uesignee
Date