2003-07-18_REPORT - M1980112

• Permit No: M1980112
• IBM Index Class Name: Report
• Doc Date: 7/18/2003
• Doc Name: Annual Fee/Report/Map
• 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:
Rio Blanco County
M-1980.122
Richard Bachman Pit
July 10, 2003
$688.00 (Due on or before your anniversary date)
Rio Blanco
RECEIVED
JUL 18 2003
Division ~f Mincrals and Geology
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
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 your revised written annual rennrt and annual rennrt m to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Jerry Steele
Permittee Name: Rio Blanco County
Address: 570 2nd St.
Meeker, CO 81641
---Phane-Numbzr-(970}-878=5601-
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.
Sign e of Corp ate Of tcer, Owner, or Designee
6 ~ to-03
Date
M:\PERMITMASTERDOCUM ENTSU4-AF-04