REP05081

• Permit No: M1984069
• IBM Index Class Name: Report
• Doc Date: 7/3/2003
• Doc Name: Annual Fee Payment/Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
JUL 0 31003
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Schmalz Construction Ltd.
M-1984-069
Schmalz Const Pit
July 12,2003
$281.00 (Due on or before your anniversary date)
Gunnison
Division ~f Minerals and Geology
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
-- dnring-thenrpcuming year; ieciamatian that will be-performed duringthe coming year,-the-dates for the-beginning -
ofactive operations, and the date active operations ceased for [he year, if any.
Please attarh your revised writt n annnal rennrt and annual re~nnrt m ~n 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: Fred Schmalz
Permittee Name: Schmalz Construction Ltd.
Address: 720 S. 8th St.
P. O. Box 1105
Gunnison, CO 81230
Phone Number: [phone]
Pax Nm-nber:- ~ -(970}-641-4231 --- - -
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.
Signature of Corporate Officer, Owner or Designee
Date
M:~PERMITVvIASTERDOCUMENTSVvI-AF-01