2001-12-18_REPORT - M1984041

• Permit No: M1984041
• IBM Index Class Name: Report
• Doc Date: 12/18/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

III IIIIIIIIIIIIIIII
999
ANNUAL FEE and REPORT REQUEST
RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Centex Eagle Gypsum Company, L.L.C.
M-1984-041
Eagle-Gypsum Mine
December 24, 2001
DEC 18 2001
Division of Minerals end Geolepy
$688.00 (Due on or before your anniversary date)
Eagle

According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of [he 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 [he year, if any.
Please attach your revised written annual report and annual report map to this form. Pleose note that an
adequately labeled map that clearly delineates and 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
Permittee Name:
Address:
Phone Number:
Fax Number:
Stephen A. Onorofskie
Centex Eagle Gypsum Company, L.L.C.
P.O. Box 980
740 Hwy. 6
Gypsum, CO 81637
[phone]
[phone]
If you have additional comments and/or information that should be provided to the Division, please provide i[
below or attach it to this form along with your written report and map. Annual Report instmctions are enclosed.
Signature of rporate Officer or Owner
(Z-3-0 ~
Date
M'~PERM ITV.IASTERD000MENTSV.7~AF-01