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2011-10-04_REPORT - M2000050
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2011-10-04_REPORT - M2000050
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Entry Properties
Last modified
8/24/2016 4:43:46 PM
Creation date
10/5/2011 11:42:58 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2000050
IBM Index Class Name
REPORT
Doc Date
10/4/2011
Doc Name
Rtn. Mail- AF & RPT
From
DRMS
To
Barnhart Agency
Permit Index Doc Type
Annual Fee/Report
Media Type
D
Archive
No
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PERMITTEE NAME: Gail C. Allen and Millie J. Allen <br />PERMIT NO.: M- 2000 -050 <br />OPERATION NAME: Broken Spear Pit <br />ANNIVERSARY DATE: October 2, 2011 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Lincoln <br />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 <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the - up - e ming reclama ton that wtlI performed — during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Mark T. Bain <br />Permittee Name: Gail C. Allen and Millie J. Allen <br />Address: P.O. Box 38 <br />Phone Number: <br />Fax Number: <br />- —Limon, CO 8082$` <br />(719) 740 -2363 <br />(719) 743 -2809 <br />ANNUAL FEE and REPORT REQUEST <br />If you have additional comments and /or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />Date <br />
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