2003-12-15_REPORT - M1996049

• Permit No: M1996049
• IBM Index Class Name: Report
• Doc Date: 12/15/2003
• Doc Name: Annual Fee/Report Notice
• From: Everist Materials LLC
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

,.
Everist Materials, LLC
R~K;Ik~i/f~fl~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
M-1996-049
Maryland Creek Ranch
December 20, 2003

DEC 1 52003
Division of Minerals and GeolopY
$688.00 (Due on or before your anniversary date)
Summit
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator
shall submit-the ann_ u~l-fee, a report and tnap'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 anmral rennrt and annual rennrt m ~n to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffcefor a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Greg Norwick
Permittee Name: Everist Materials, LLC
Address: P. O. Box 1150
Silverthorne, CO 80498
Fax Number: [phone]
If you have additional comments andfor 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 6 spot to Officer, caner, or Designee
~~~/~Q,~
Date TTT
M:~PERMI"MIASTERDOCUMENTSUA-AF-01