2001-06-08_REPORT - M1996031

• Permit No: M1996031
• IBM Index Class Name: Report
• Doc Date: 6/8/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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'RECE-VED
ANNUAL FEE and REPORT REQ UEST
JUNn82001
PERMITTEE NAME: Sutherland Brothers, Inc. ipetals and Geolo9V
PERMIT NO.: M-1996-031 Division of M
OPERATION NAME: Weimer No. 2
ANNIVERSARY DATE: July 2, 2001 _ / /^/~ld 1
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ANNUAL FEE DUE: Yi `
$281.00 (Due on or before your anniversary date) I
-
COUNTY: Montrose
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 your revised written annual report and annual resort mau to this form. Please note tkat on
adequately labeled map that clearly delineates and utcludes the above elemetets may suffice for a written
report.
Division records indicate [he following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Bob Sutherland
Permittee Name: Sutherland Brothers, Inc.
Address
Phone Number:
Fax Number:
29703 Hwy. 97
P.O. Box 889
Nucla, CO 81424
[phone]
[phone]
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.
~JJ~~Gl~i~~7
Signature of Corporate Officer or Owner
G ~ 1/- ~-~
Date
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