2005-05-20_REPORT - M2000014

• Permit No: M2000014
• IBM Index Class Name: Report
• Doc Date: 5/20/2005
• Doc Name: Annual Fee/Report/Map
• From: Yust Ranch
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

C6 ~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Yust Ranch
M-2000-014
Yust Ranch Gravel Pit
May 22, 2005 Division of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Grand
RE~EIVI~®
MAY20~
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator
--shall submit.the_annual-fee,-a_report_and~map_showing.the_extent_of_currenLdisturbances_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 ynnr revised written anm.al report and anm~al report man to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may sujf:ce for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Jim Yust
Permittee Name: Yust Ranch
Address: Box 246 881 Grand County 1
Kremmling, CO 80459
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information [hat 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 Designee
Date