2002-12-31_REPORT - M1976009HR

• Permit No: M1976009HR
• IBM Index Class Name: Report
• Doc Date: 12/31/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNPJERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Schmidt Construction Company
M-1976-009-HR
Menzer Quarry
December 31, 2002
RECEIVED
DEC 3 1 2002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
El Paso
According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
_ reclamation accomplis~d <o da[e and du~mg the piece t3~ng year, new disturbances [hat are anticipated [o occur
during the upcoming year, reclamation that will be performed during the coming yeaz, the dates for the beginning
of active operations, and the date active operations ceased for [he year, if any.
Please attach vour revised written annual report and annual resort mau to this form. Please note that an
adequately labeled map that clearly delineates mtd includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessazy
changes:
Permittee Contact: Scott Davis
Permittee Name: Schmidt Construction Company
Address: 2635 Delta Dr.
Colorado Springs, CO 80910
Phone Number: [phone]
Fax Number. '~~ ~ -~ g~ - ~(02 ~,.$"-'
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.
~~ -Cl,'
Signature of Corporate Officer, Owner, or Designee
Date
M:~PERM ITUNASTERDOC UMENTSNI-AF-01