2003-01-23_REPORT - M1983148

• Permit No: M1983148
• IBM Index Class Name: Report
• Doc Date: 1/23/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

r/
RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Montrose County
M-1983-148
Neal Pit
January 30, 2003
$688.00 (Due on or before your anniversary date)
Montrose
JAN 2 3 2003
Division of Minerals 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 ___ _
land,, reclamauon accomplished to-Ic ate 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 [he
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written anmral re~nrt and annnal report mat fn 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: Brian Wilson
Permittee Name: Montrose County
Address: 161 S. Townsend
Montrose, CO 81401
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.
Signature of Corporate Officer, Owner, or Designee
~/~ /° 3 .
Date
M:~PERMITVvtASTERDOCUMENTSNI-AF-04