2001-07-30_REPORT - M1983193

• Permit No: M1983193
• IBM Index Class Name: Report
• Doc Date: 7/30/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

II I 'II I II I II IIII'll
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ANNUAL FEE and REPORT REOUEST
RIECEIVCD
PERMFf'rEE NAME: R E Monks Construction Co. JUL 3 0 2D01
PERMIT NO.: M-1983-193 Division of
OPERATION NAME: Monks Plant No 1 Minerals and Geology
ANNIVERSARY DATE: July 29,2001
ANNUAL FEE DUE: $688.00(Due on or before your anniversary date)
COUNTY: El Paso
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, 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 your revised written annual report and annual report map to this form. Please note that art
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following petmittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Dennis Good
Permittee Name: R E Monks Construction Co.
Address: P.O. Box 25579
Colorado Springs,CO 80936
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.
Signat of C ate Officer or Owner
Date
M TERMn"WASTERDOCUMENTSW-AF-01