REP52035

• Permit No: M2000046
• IBM Index Class Name: Report
• Doc Date: 5/21/2002
• Doc Name: 2002 Annual Report
• From: Pioneer Sand Company Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Division of Minerals and Geology
Pioneer Sand Company, Inc.
M-2000-046
Phillips Ranch Property Gravel Pit #2
June 16, 2002
$281.00 (Due on or before your anniversary date)
Fremont
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 cubmit_the-annual-fe~,-a-repeat-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 [he coming year, the dates for [he 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 man to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Divi~ion records indicate the following permittee contact information. Please verify and make any necessary
s=7ia~ges:
~,` E `N~i
Permittee Contact: Mike Ausburn
Peirriittee Name: Pioneer Sand Company, Inc.
`Address: P.O. Box 7650
Colorado Springs, CO 80933
Phone Number: [phone]
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 instructions are enclosed.
Si [ur Corpo~t ~( ficer or Owner
/11Nr/ /G ? X110 Z
Date
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