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2006-04-14_REPORT - M2003024
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2006-04-14_REPORT - M2003024
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Entry Properties
Last modified
8/23/2019 8:40:48 AM
Creation date
11/27/2007 10:05:33 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2003024
IBM Index Class Name
Report
Doc Date
4/14/2006
Doc Name
Annual Fee/Report/Map
From
Phillips County
To
DMG
Permit Index Doc Type
Annual Fee / Report
Media Type
D
Archive
No
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,; <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Phillips County <br />M-2003-024 <br />Ward Pit <br />May I5, 2006 <br />$281.00 (Due on or before your anniversary date) <br />Phillips <br />RECEi~/E~ <br />APR 14 2~6 <br />Oirisioo W Minerals and Geoiapy <br />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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attachwnnr revised written annual report and annnal regOrt m ~ to this form. please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Randy Schafer <br />Permittee Name: Phillips County <br />Address: 221 S.Interocean Ave. <br /> Holyoke, CO 80734 <br />Phone Number: (970) 854-3778 <br />Fax Number: (970) 854-3811 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />r~ mom''./ si7F~~/iz <br />Signatur Co~ fficer, Owner, or Designee <br />Dam,,/ 7~ ~~o ~ <br />Dat~ <br />M:~PERMI7 VNASTERDOCUMENTS~M-AF-04 <br />
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