2001-05-14_REPORT - M1995012

• Permit No: M1995012
• IBM Index Class Name: Report
• Doc Date: 5/14/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: Cecil C Powell RECEIVED
PERMIT NO.: M-1995-012 MAY 1 4 2001
OPERATION NAME: Powell's Gravel Pit
Division of Minerals and Geology
ANNIVERSARY DATE: May 12, 2001
ANNUAL FEE DUE: $225.00 (Due on or before your anniversary date)
COUNTY: 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 [he annual fee, a report and map showing the extent of current disturbances [o affected
land, reclamation accomplished to date and during-the preceding year, new disturbances that are an[icipated.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 your revised written annual report and annual report map to this form. Please Hole That an
adequately labeled map that clearly delineates mrd inchrdes 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: Cecil C. Powell
Permittee Name: Cecil C Powell
Address: P.O. Box 23
Dinosaur, CO 81610
Phone Number: [phone]
Fax Number:
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 Corporate Officer or Owner
~/ice / o
Date
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