2002-01-14_REPORT - M1980249

• Permit No: M1980249
• IBM Index Class Name: Report
• Doc Date: 1/14/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMfp NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Charles W Houchin
M-1980-249
Houchin Gravel Pit
February 4, 2002
RECEIVED
JAN 1 4 2002

Division of Minerals and Geology
$281.00 (Due on or before your anniversary date)
EI Paso
According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-I 16, 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 Co affected land,
reclamation accomplished to date and during the preceding year, new-dismrbances that are anticipated to occur
during the upcoming year, reclamation [hat 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 report and annual report map to this form. Please Wore that art
adequately labeled mnp that clearly delineates mtd ntcltrdes the above elements u7m~ since for a n ritten report.
Division records indicate the following permit[ee contact information. Please verify and make any necessary
changes:
Permittee Contact: Charles Houchin
Permittee Name: Charles W Houchin
Address: P.O. Box 162
Phone Number:
Fax Number:
Green Mountain Falls. CO 80819
[phone]
(71~)o84-2b95
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.
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Signature of Corporate Officer or Owner ~j~,,_,,% //'i~~~~~j ~n/~~2 t/
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Date
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