2005-07-17_REPORT - M1999033

• Permit No: M1999033
• IBM Index Class Name: Report
• Doc Date: 7/17/2005
• Doc Name: Annual Fee/Report/Map
• From: fremont county
• To: dmg
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Fremont County

R~CEIV~®
M-1999-033 JUN 1710(I~
Howard Pit #1 & #2
Division of Minerals and Geology
May 26, 2005
$281.00 (Due on or before your anniversary date)
Fremont
_ 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 annuaffee, a report and m_ap showing the extent of ourrent_disturbances to.affected_ J
]and, 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 annual re,Pnrt and annnal re,Pnrt maT to this Fnrm_ 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: Paul Garrett
Permittee Name: Fremont County
Address: 615 Macon Ave., Room #105
Canon City, CO 81212
Phone Number: [phone]
Fax Number: [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.

Signature of Corporate Officer, Owner, or Designee
Dale
M:IPERM771MAS7ERDOCUMENTSIM-AF-09