2006-01-27_REPORT - M1980249

• Permit No: M1980249
• IBM Index Class Name: Report
• Doc Date: 1/27/2006
• Doc Name: Annual Fee/Report/Map
• From: Charles W. Houchin
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

h hp
RECEI~E®
JAN [ ~ 2006
PERMITTEE NAME:
PiiRMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
i/ANNiJAi. FF.F, and RF,PnRT RF.Oi1F.ST
r/ Charles W Houchin
/ M-1980-249
Houchin Gravel Pit
February 4, 2006
vllivision of Minerals and GeolCpy
$281.00 (Due on or before your anniversary date)
EI Paso
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
--s;ratl-suhmi < < u ~ ar ap-showh~g~ite-extent-of currerfizlistarbances'l~a£fectcd-lanzi,
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 rennrt and annual re nn rf m,1p 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: Charles Houchin
Permittee Name: Charles W Houchin
Address: P.O. Box 162
Green Mountain Falls, CO 80819
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 t~ti~rh'along with youry~itten report and map. Annual Report instructions are enclosed.
Signature
Designee
/'~S °i~
Date