2003-07-25_REPORT - M1994117

• Permit No: M1994117
• IBM Index Class Name: Report
• Doc Date: 7/25/2003
• Doc Name: Annual Fee Payment/Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
JUL 2 5 2003
ANNiiAi, FFF and RF.Pf)RT RF(IiJF.ST
Division ~f Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ITEC Environmental Colorado, Inc.
M-1994-117
Gold Hill Mill
July 26, 2003
RECEIVED
JUL 2 5 2003
Division ~f Minerals and Geology
$225.00 (Due on or before your anniversary date)
Boulder
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 y,llur revised written annual report and annual re nrt m ,p to this form- please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Maxine Stewart
Permittee Name: ITEC Environmental Colorado, Inc.
Address:
-Phone Number:
P.O. Box 1523
Longmont, CO 80502
(303) 65]-2985
Fax Number: [phone]
M a 2 k- A - ~ -i-~en
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.
$
`l'ka~- •~ ,dam-.
Signature of Corporate Officer, Owner, or Designee
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M'IPERMITVNASTERDOCUMENTS/M-AF-02. DOC