2005-06-05_REPORT - M2000046

• Permit No: M2000046
• IBM Index Class Name: Report
• Doc Date: 6/5/2005
• Doc Name: Annual Fee/Report Notice
• From: pioneer sand company inc
• To: dmg
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Pioneer Sand Company, Inc.
M-2000-046
Phillips Ranch Property Gravel Pit #2
June 16, 2005
$281.00 (Due on or before your anniversary date)
Fremont
~$~~°`,~ill~
JUN 1,~ 2005
Division of Minerals & Gealopy
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
i 1/ . hm't sl~n al fro rrnnrk an.l mars ghn~.._a 4hP a tr+.t nF ClltlCrlt-dl.StUtbaIICfS_t~~affCCte(1-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 anneal repnrf and anneal re nn rf mat 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: Mike Ausbum
Permittee 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
below or attach it to this form along with your written report and map.
Signature o Corporate Officer, Owner, or Designee
provided to the Division, please provide it
Annual Report instructions are enclosed.
!v~/y~v,~~r
Date