2004-12-27_REPORT - M2000144

• Permit No: M2000144
• IBM Index Class Name: Report
• Doc Date: 12/27/2004
• Doc Name: Annual Fee/Report/Map
• From: Hall-Irwin Corporation
• 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:
Hall-Irwin Corporation
M-2000-144
North LaPoudre Pit
January 22, 2005
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Ofd 17 20py
Division o/Minerals and Geology
$688.00 (Due on or before your anniversary date)
Weld
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 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 fot [he beginning
of active operations, and the date active operations ceased for the year, if any.
Please attachyn~r revised written annnal rennrt and annual re,Pnrf 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: Jeff Gregg
Permittee Name: Hall-Irwin Corporation
Address: 3026 4th Ave.
Greeley, CO 80631
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 attpch it to this form along with your written report and map. Annual Report instructions are enclosed.
Owner, or Designee
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Date