2001-03-14_REPORT - M1999042

• Permit No: M1999042
• IBM Index Class Name: Report
• Doc Date: 3/14/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

III IIIIIIIIIIIIIIII r ~ o~~ ~=
999 •.
ANNUAL FEE and REPORT REQUEST
RECEIVE®
MAR 1 4 2~U1
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Avalanche Creek Marble & Alabaster LLC
M-1999-042
White Banks Mine
,lanuary 4, 2001
$22$,00 (Due on or before your anniversary date)
Pitkin
Division al Minerals and Oeaingy
According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-1 16, each year, on the anniversary date of the perrnit, an
operator shall submit the annual fee, a report and map showing [he 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 reuort and annual resort maa to this form. Please note tha! on
crdeyuntely labeled map that clearly delineates and inchrdes the above elements mrat~ sr ffrce for a written
report.
Division records indicate the following perntittee contact intormation.'Please verify and make any necessary
changes:
Permittee Contact: Robert Congdon
PerniitteeName: fl~hillf ~A~Ct,~tf tJ't~" S'~eh"l'
Address: In-, °~^4'r ~w ~U ~3p.~' ~~~
Wh+~~ t.vct,r`r CUB
, _ 8Y5~~
Phone Number: '{9~_ 97~' 379'U7db
Far Number: {97$}963=6635, _ 9 7U - ,~~_ 9~7
If you have additional comments andlor 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 ot~Cor~porate' fficer or owner
~-lp- ~opl
Date
M~PERMIT~MASTERDOCUbfENTS/M-.4F-07 DOC