2003-09-22_REPORT - M1977302

• Permit No: M1977302
• 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:
Pete Lien and Sons, Inc.
M-1977-302
Owl Canyon Quarry
September 24, 2003
RECEIVED
SEP 1.12003
Division ~f Minerals and Geology
$688.00 (Due on or before your anniversary date)
Lorimer
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 annual renurt and anm~al rennrt map 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: Lecia Crafr
Permittee Name: Pete Lien and Sons, Inc.
Address: P.O. Box 767
Rapid City, SD 57709-0440
Phone Number: ~~n~,~-Tp1-~--^-==~ (n05- 3'f2-ZZ1-~
Fax Number
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 are enclosed.
a ~.a,2~t
Signature of Corporat Officer, Owner, or Designee
gl ~` l03
Date
M1PERM ITU1ASTERD000MENTS~M-AF-01