REP51060

• Permit No: M1985091
• IBM Index Class Name: Report
• Doc Date: 5/24/2002
• Doc Name: 2002 Annual Report
• From: Chaffee County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Chaffee County
M-1985-091
Salida Pit
June 30, 2002
MAY 2 4 2002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Chaffee
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 shad-submit'tlte antmal-fee;-a-report-and map showing-the extent-of current-disturbances-to-affected -----
land, reclamation accomplished [o date and during the preceding yeaz, new disturbances that aze anticipated to
occur during the upcoming yeaz, 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 an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessazy
changes:
Permittee Contact: Cheri Moore
Permittee Name: Chaffee County
Address: P.O. Box 699
Phone Number:
Fax Number:
Salida, CO 81201
[phone]
[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 instmctions aze
enclosed.
Signatur o~ orporate Officer or Owner
Date
M 1PERMnN1A5TERDOCIIMENTSVN-AF-P4