2005-12-27_REPORT - M1996060

• Permit No: M1996060
• IBM Index Class Name: Report
• Doc Date: 12/27/2005
• Doc Name: Annual Fee/Report/Map
• From: Hall-Irwin Corporation
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

K /5
RECEIVED
PERMTITEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
/b^~
DEC 2 72005
ANNiIAi, FF.E and RF.PnRT RF.QiTRST
Division of AAinerals antl Geology
Hall-Irwin Corporation
M-1996-060
Firestien Pit
December 31, 2005
$688.00 (Due on or before your anniversary date)
Weld
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 ynnr revised written anneal re,RQrt and anneal report main to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Jeff Gregg
Permittee Name: Hall-Irwin Corporation
Address: 301 Centennial Dr.
Milliken, CO 80543
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.
Owner, or Designee
~Z
Date