2001-12-04_REPORT - M1988101

• Permit No: M1988101
• IBM Index Class Name: Report
• Doc Date: 12/4/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

III IIIIIIIIIIIIIIII
999
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Elbert County
M-1988-101
Fondis Pit
December 15, 2001
~E~E9~lE®
DEC 0 4 2001
Division of Minerals and GeoloBY
$688.00 (Due on or before your anniversary date)
Elbert

According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of [he 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 vour revised written annual report and annual report mao to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a rvrirten
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Marilyn Sproch
Permittee Name:
Address:
Phone Number:
Fax Number:
Elbert County
809 Ute .~..
Simla, CO 80835
[phone]
(7 ] 9) 541-2826
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.
Sia azure of rate Officer Owner
`~w- ~ v r
Date
M ~PERMITV.1ASTERD000MEM'SN1-AF-09