2004-04-14_REPORT - M1982121

• Permit No: M1982121
• IBM Index Class Name: Report
• Doc Date: 4/14/2004
• Doc Name: Annual Fee/Report/Map
• From: Pitkin Iron 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:
ANNNERSARY DATE:
ANNLJAL FEE DUE:
COUNTY:
ANN71Ai, FF,F, and RTPORT RROiiFST
Pitkin Iron Cm•poration
M-1982-121
Mid-Continent LST
April 25, 2004
$688.00 (Due on or before your anniversary date)
Garfield
~G~
RECEI~E~~
APR 14 2004
Division of Minerals & Geology
According to C.R.S. 34-32.5-1 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.
P1Paee attach ynnr reviced written anneal rennrt and anmral re~7nrt man to this form. Please ~zote that an
adequately labeled map that clearly delineates a~ad includes the above elements nary suffice for a writte~a report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Robert J. Delaney
Permittee Name: Pitkin Iron Corporation
Address: 0755 Airport Rd.
P. O. Box 1298
Glenwood Springs, CO 81601
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.
4~!o'f~Gl ill %~'~~o~a~'`l ' /Yl f
Signature of orporate Of ices, Owner, or Designee
-//- z~a
Date