REP18529

• Permit No: M1997087
• IBM Index Class Name: Report
• Doc Date: 7/3/2002
• Doc Name: 2002 Annual Report
• From: Western Mobile Southern Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
ANNUAL FEE and REPORT REQUEST
JUL 0 3 2002
Division of Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Western Mobile Southern, Inc.
M-1997-087
Hartman Pit
June 15, 2002
$688.00 (Due on or before your anniversary date)
Pueblo
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on [he anniversary date of the permit, an operator
shall_submit_the_annua]_fee, a_report_and .map showing the extenLOf_current_disturbances to_affected._]and, __ -
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 your revised written annual report and annual report map to this form. Please note that an
adequately labeled map Heat 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: Eric Reckentine
Permittee Name: Western Mobile Southern, Inc.
Address: 1590 W. 12th Ave.
Denver, CO 80204
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide i[
below or attach i[ [o [his form along with your written report and map. Annual Report instructions are enclosed.
.~
Signature~of! orporate Officer or Owner
/L`r7 ~
Date LLL~~~
M:~PERMIT VNASTERDOCUMEMSNI-AF-01