2004-09-07_REPORT - M1983141

• Permit No: M1983141
• IBM Index Class Name: Report
• Doc Date: 9/7/2004
• Doc Name: Annual Fee/Report/Map
• From: ITEC Environmental Colorado Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ITEC Environmental Colorado, Inc.
M-1983-141
Cash & Who Do Mines
September 7, 2004
$225.00 (Due on or before your anniversary date)
Boulder
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
Iand-eeclamatiou-accomplished to-date and-during-the preceding-year; new-disturbances-thabare 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 annnal rennrt and annual rennrt main to this form. Please note that an
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: Mark A. Steen
Permittee Name: ITEC Environmental Colorado, Inc.
Address; P.O. Box 1523
Longmont, CO 80502
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.
C9'ai'!
Signature of Corporate Officer, Owner, or Designee
"I, ,~-+OO~I
Dale
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