2003-09-22_REPORT - M1977301

• Permit No: M1977301
• IBM Index Class Name: Report
• Doc Date: 9/22/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Colorado Lien Company
M-1977-301
Roberts Quarry
September 22, 2003
$688.00 (Due on or before your anniversary date)
Larimer
RECEIVED
SEP ? p 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 annua_l_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 ynnr revised written annual renort and annual rennrt main to this form- please note that on
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Lecia Crafr
Permittee Name: Colorado Lien Company
Address: P.O. Box 767
Rapid City, SD 57709
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide
below or attach i[ to this form along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporal Officer, Owner, or Designee
~~1~103
Date
MiPERMINNASTERDOCUMENTSUI-AF-01