2003-09-26_REPORT - M2000077

• Permit No: M2000077
• IBM Index Class Name: Report
• Doc Date: 9/26/2003
• 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:
PK Enterprises, Inc.
M-2000-077
Mule Creek Pit
October 12, 2003
RFCF~VE®
SEp 2 B ?~03
Oirisian ~f Minerals and CeologY
$688.00 (Due on or before your anniversary date)
Teller
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'the-ttlsc~Tiingyear-7eclamaTion~hat will-be performed during the coming year; fhe dates foi the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ynnr revised written anneal rennrt and anneal rennrt m,~ to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffce for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Gregory A. Loop
Permittee Name: PK Enterprises, Inc.
Address: 11115 W. Hwy. 24, Unit 2A
P. O. Box 729
Phone Number:
Fax Number:
Divide, CO 80814
[phone]
[phone] '~
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it [o this form along with your written report and map. Annual Report instructions are enclosed.
Signatur f C rate Of cer, ner, or Designee
Date
M:~PERMINIASTERD000MENTSUI-AF-01