2002-12-16_REPORT - M1984041

• Permit No: M1984041
• IBM Index Class Name: Report
• Doc Date: 12/16/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: Centex Eagle Gypsum Company, L.L.C.
PERMIT NO.: M-1984-041 RECEIVE D
OPERATION NAME: Eagle-Gypsum Mine DEC 162002
ANNPJERSARY DATE: December 24, 2002
Division of Minerals and Geology
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Eagle
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 16, 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 vour 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 necessary
changes:
Permittee Contact: Stephen A. Onorofski
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Permittee Name: ccnn~eage-a.~~p~ay~-cc_.
Address: P.O. Box 980
740 Hwy. 6
Gypsum, CO 81637
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.
// 1 `" "
Signature of orate Officer, Owner, or Designee
/Z-12-OZ
Date
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