REP23277

• Permit No: M1981022
• IBM Index Class Name: Report
• Doc Date: 5/21/2002
• Doc Name: 2002 Annual Report
• From: Connell Resources Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

i.
PERMIT I'EE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Connell Resources, Inc.
M-1981.022
Glass Gravel Pit
May 20, 2002
RECEIVED
MAY 2 12Q0p
Division of Minerals and Geolo9Y
$688.00 (Due on or before your anniversary date)
Larimer
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-] lb, each year, on the anniversary date of the permit, an operator
_ shall submit the annual fee,_ a_ repoR and map showing the extent of current disturbances [o affected land,
reclamation accomplished to date and during [he 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 resort mao 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 David E. Simpson
Permittee Name: Connell Resources, Inc.
Address: 4305 E. Harmony Rd.
Ft. Collins, CO 80528
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.
Signature of Cor orate cer or Owner
Date ~
M:~PERM17Vvi ASTERDOCUMENTSVvI-AF-01