2004-07-22_REPORT - M1999062

• Permit No: M1999062
• IBM Index Class Name: Report
• Doc Date: 7/22/2004
• Doc Name: Annual Fee/Report/Map
• From: Hector Rodriquez
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

JUL-19-04 19:41
. ,
FROt}Colarado Division of tlinerals 9 GaoloQy [phone]
PERMITCEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUF:
COUNTY:
Hector Rodriquez
M-1999-062
Indio Red Qaarry Numbcr 1 & 2
Aagasi 23, 2004
T-126 P.00T/D09 F-019 ~/ '~
~~
RECEI~rEp
JUL 2 2 2004
Division of Minerals & Geolo9Y
$281.00 (Due on or before your anniversary date)
Latimer
According to C.R.S. 34-32-5-116 or C.R.S. 34-32-116, each year, on the atmiversary 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 aze antieipa'ed to occur
doting the upcoming year, reclamation that will be performed during the coming year, the dates for tTie begi~inro
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annnal~port and annoal~4nnrt map to this fnrm_ please ,rote that an
adequately labeled reap that clearly delineates and includes the above elements may suffice for a writtE n report.
Division records indicate the following permittee contact information. Please verify and make anj~ necessary
changes:
Permittcc Contact: Hector Rodriquez
Permittee Name: Hector Rodriquez
ly~ t ~/gSOUe.Z
T-~
Address: P.O. Box 1504 ~ .
_ ~-
Lyons, CO 80540
Phone Number: [phone] `~
FaxNvmber: ~03 - 8Z3 .6 (~a
3a3- ~~`~ - 6116
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. Annttal Report instructions are enclosed.
Signa o corporate Officer, Owner, or Desigtee
~ .~y-d~
Date