2001-05-18_REPORT - M2000037

• Permit No: M2000037
• IBM Index Class Name: Report
• Doc Date: 5/18/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

~i ' • •
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Rio Blanco County
M-2000-037
Baxter Pass Gravel Pit
May 10, 2001
III IIIIIIIIIIIIIIII
V
RECEIVED
MAY 18 2001
Division of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Rio Blanco
According to C.R.S. 34-32.5-I 16 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 vour revised writteu annual report and annual report maa to this form. Please note that un
adequately labeled map [hat clearly delineates card 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:
Permittee Contact: Stanley Rasmussen
Permittee Name: Rio Blanco County
Address: 17497 Co. State Hwy. No. 6 .S~a f~e. .[~J / t~(a 1~~,
Rangely, CO 81648
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.
Signature of C orate Officer or Owner
~- 0
Dale
M iPERM IPMASTERDOCUIvtEM5Vv1-AF-04