2004-04-14_REPORT - M1994096

• Permit No: M1994096
• IBM Index Class Name: Report
• Doc Date: 4/14/2004
• Doc Name: Annual Fee/Report/Map
• From: James D. and Beckie J. Krakel
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
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James D. and Beckie J. Krakel RECEi'
M-1994-096 APR 14 ~8~~
Russell Gravel Pit Division of Mla@Fal~ $! Geolo~Y
April 14, 2004
$281.00 (Due on or before your anniversary date)
Larimer
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date o£the_permit=aw•epereter
- - - --shall-submit -the anriual-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 ym~r revised written anneal re~nnrt and anneal report man M 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: Candice Pittington
Permittee Name: James D. and Beckie J. Krakel
Address: Robret C. Pittington, Sr.
P. O. Box 1228
Wellington, CO 80549
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.
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Signature of Corporate Officer weer, or Designee
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Date