2003-11-13_REPORT - M1980194

• Permit No: M1980194
• IBM Index Class Name: Report
• Doc Date: 11/13/2003
• Doc Name: Annual Fee Refund
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
EI Paso County
M-1980-194
Hodgen
October 23, 2003
$281.00 (Due on or before your anniversary date)
EI Paso
RECElVE®
OCT 1~s
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 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 ynnr revised written annnal rennrt and annual re on rf mas to this firm- 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 necessary
changes:
Permittee Contact: George P. Sugars
Permittee Name: EI Paso County
Address: 3460 N. Marksheffel Rd.
Colorado Springs, CO 80922
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.
of Corporate Offiger, Owner, or Designee
M:~PERMITMASTERDOCUMENTSU7-AF-04