2006-03-03_REPORT - M1993059

• Permit No: M1993059
• IBM Index Class Name: Report
• Doc Date: 3/3/2006
• Doc Name: Annual Fee/Report/Map
• From: Midwestern Farms Resource
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
t/ ANNiiAi, FF.F and RF.PnRT RF,t~iTF,ST
`~ Midwestern Farms Resource
M-1993-059
/I h~
RECE~VEp
,rMAR 0 31006
OPERATION NAME: i Midwestern Farms /D(vlston ~f Minerals and
GeelaSY
ANNIVERSARY DATE: March 4, 2006
ANNUAL FEE DUE: i $688.00 (Due on or before your anniversary date)
COUNTY: Provers
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 for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ynnr revised written anmral rennrt and anmral re~nrt main to this form- Please note [hat an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate theifollowing petmittee contact information. Please verify and make any necessary
changes:
i
PermitteeContact:3~ ~~1~ L~tltM~e~~.~..c,-'
Permittee Name: Midwestern Farms Resource
Address: P.O. Box 580
I
Rye, COI 81069
i
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 nr attach it tot 's rm along ith your written report and map. Annual Report instmctions are enclosed.
Signdture of Corporate Officer, Owner, or Designee
-/t/6~ ' .
Date