2006-02-15_REPORT - M1993087

• Permit No: M1993087
• IBM Index Class Name: Report
• Doc Date: 2/15/2006
• Doc Name: Annual Fee/Report/Map
• From: Baca County
• To: DMG
• 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:
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Baca County
;~M-1993-087 t~~B ~ ~ 2006
Weeden Pit No 30 tMnaion o/Minerals and Geology
February 24, 2006
$688.00 (Due on or before your anniversary date)
Prowers
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 exfe rt i~f cu~tsl-disturbatrces'[u~affectezh
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 ynnr revised written anmral re~nrt and anm~al rennrt m~ 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: Glen R. Ausmus
Petmittee Name: Baca County
Address: 741 Main St.
Springfield, CO 81073
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.
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Signature of Corporate Officer, Owner, or Designee
2 - l~-.zoo~
Date
M:~PERMITMASTERDC CUMENISVN-AF-04