2003-12-19_REPORT - M1994081

• Permit No: M1994081
• IBM Index Class Name: Report
• Doc Date: 12/19/2003
• Doc Name: Annual Fee/Report Notice
• From: DMG
• To: Ronald L Barrier
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Ronald L Barrier
M-1994-081
Peat Mine
December 21, 2003
$550.00 (Due on or before your anniversary date)
Alamosa
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
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 vrnur revised written annual rennrt and annual red nrt man to this form- Please note that an
adequately labeled map that c/early 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: Ronald L. Barrior
Permittee Name:
Address:
Ronald L Barrier
P. O. Box 3
Alamosa, CO 81101
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.
atur / Corpor icer, Owner, or Designee
/,~ ~~ O 2
Dale T~
M:~PERMITVNASTERDOCUMENTS/M-AF-02.DOC