REP24747

• Permit No: M1990112
• IBM Index Class Name: Report
• Doc Date: 7/3/2002
• Doc Name: 2002 Annual Report
• From: Western Mobile Southern Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMTTTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Western Mobile Southern, Inc.
M-1990-112
State Pit
June 15, 2002
JUL 0 3 1001
Division o! Minerals and Geology
$688.00 (Due on or before your anniversary date)
Pueblo
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 yeaz, 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 map 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 permi[tee contact information. Please verify and make any necessary
changes:
Permittee Contact: Eric Reckentine
Permittee Name: Western Mobile Southem, Inc.
Address: 1590 W. 12th Ave.
Phone Number:
Fax Number:
Denver, CO 80204
[phone]
[phone]
If you have additional comments and/or information that should be provided [o the Division, please provide i[
below or attach it [o this form along with your written report and map. Annual Report instructions are enclosed.
-' c_ ~C
tgn ture of Corporate Officer or Owner
/Z~d ~
Date
M:~PERMITN1ASTERD000MENTSUI-AF-01