REP20555

• Permit No: M2001033
• IBM Index Class Name: Report
• Doc Date: 7/16/2002
• Doc Name: 2002 Annual Report
• From: Rough Cut LLC
• 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:
ANNUAL FEE and REPORT REQUEST
Rough Cut, LLC
M•2001-033
Rough Cut Pit
July 17, 2002
$688.00 (Due on or before your anniversary date)
Otero
RECEIVED
JUL 16 ~
Division of Minerals and Geology
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, 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 yeaz, if any.
Please attach vour revised written annual report and annual report mau 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 pemuttee contact information. Please verify and make any necessary
changes:
Permittee Contact: Alan Frantz
Permittee Name: Rough Cut, LLC
Address: 15645 Rd. GG
Rocky Ford, CO 81067
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to [he Division, please provide i[
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
cm,,~~,
Signat r o Corporate Officer or Ow er
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Date
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