2004-09-15_REPORT - M1980178

• Permit No: M1980178
• IBM Index Class Name: Report
• Doc Date: 9/15/2004
• Doc Name: Annual Fee/Report/Map
• From: Moores Mining Ranching & Mill
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~~l
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANPdUAL FEE DUE:
COUNTY:
Moores Mining Ranching & Mill
M-1980-178
Moores Pit
September 15, 2004
RE~EI'VE®
SEP 9 52004
Division of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Mesa
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,
recfia e-Preeeding'9ca , - - ted=tt~ae~"
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 ymir revised written annual re~nrt and annual re~. nn rt mytp to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Divi:;ion records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Jean Moores
Pemiittee Name: Moores Mining Ranching & Mill
Address: 32906 Hwy 141
Phone Number:
Fax-Number:
Gateway, CO 81522
[phone]
-[phone]
N`'
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.
Signat of Corporate Officer, Owner, or Designee
Date