2003-10-29_REPORT - M1995038

• Permit No: M1995038
• IBM Index Class Name: Report
• Doc Date: 10/29/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Farmers Construction, Inc.
M-1995-038
Spor Pit
October 30, 2003
~~~~y~ ~~
OCT 2 9 2443
Givision of Minerals and Geolerl"
$281.00 (Due on or before your anniversary date)
San Miguel
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
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 ym~r revised written anneal report and anmial report m n 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: Regina Fanner
Permittee Name: Farmers Construction, Inc.
Address: 37418 Hwy. 145
Redvale, CO 8143]
_ . .Phone Number: _ [phone]
Fax Number: [phone]
If you have additional comments and/or infr
below or attach it to this form along with your
1 /"1 2n l...e~ u~
Signature of Corporate Officer, Owner, or Designee
iCl~a1~G3
Date
should be provided to the Division, please provi e
report and map. AnJJn/~ual Report instructions are enclosed.
~ ~li,~ E /'rAS~ ~°t ~/v rQG ~l In
r 1'nt aOa2 o.e „?da3
M:IPERMITMASTERDOCUMENTSVv1-AF-01