2001-12-06_REPORT - M1994081 ‎(2)‎

• Permit No: M1994081
• IBM Index Class Name: Report
• Doc Date: 12/6/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

I~~ I~III~I~IIIIIII~
ANNUAL rr.l; arid REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Ronald L Barrier
M-1994-081
Peat Mine
December 21, 2001
RECEIVED
DEC 0 6 2001

Division of Minerals and Geology
$550.00 (Due on or before your anniversary date)
Alamosa
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 accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during [he upcoming year, reclamation that will be perfonned during the coming year, [he 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 Wore that an
ndequately labeled map that clearly delitteates mtd includes the nbove elements may suffice far a K~ri[ten
report.
Division records indicate the following pennittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Ronald L. Barrior
Permi[tee Name: Ronald L Barrier
Address: P.O. Box 3
Alamosa. CO 81101
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.
~~ti '
/Signature of Corporate Officer or Owner
Date
M.WERMITN1ASTERD000MENTS/M~AF-0? DOC