2003-01-15_REPORT - M1990138

• Permit No: M1990138
• IBM Index Class Name: Report
• Doc Date: 1/15/2003
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE;
COUNTY:
Fremont County
M-1990-138
Stirrup Pit
January 20, 2003
$2` 81_00_(DtiC on or before your anniversary date)
Fremont
JAN 15 2003
Division of Minerals and Geology
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-aeeomplished-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 attac)l,yonr r vis d writ en annnal report and annual rrppft marn to fhic 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: Curtis Stone
Permittee Name: Fremont County
Address: Fremont County ComttTissioners
615 Macon Ave., Room #105
Canon City, CO 81212
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.
Signa~ e of Corporate Officer, Owner, or Designee
/ _ °~, 03
Dale
M:NERM 171MASTERDOCUMENTSNI-AF-00