2004-08-10_REPORT - M1982141

• Permit No: M1982141
• IBM Index Class Name: Report
• Doc Date: 8/10/2004
• Doc Name: Annual Fee/Report/Map
• From: Moffat Limestone Company
• 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:
Moffat Limestone Company
M-1982-141
Juniper Quarry
August 9, 2004
J ~
B"6 6. o.~ .~ d J
AUG 10 2004
Division of Minerals & Deolopy
$688.00 (Due on or before your anniversary date)
Moffat
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 accomp ished-to da-te and during the piece mg year, new drstur>~es 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 anneal re_pnrt and anneal report map 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: Danyl L. Steele
Permittee Name: Moffat Limestone Company
Address: P.O. Box 205
Maybell, CO 81640
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 orporate Officer, Owner, or Designee
~i-~ -~`/
Date