2003-10-28_REPORT - M1980143

• Permit No: M1980143
• IBM Index Class Name: Report
• Doc Date: 10/28/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
Neil's Excavating
M-1980-143
Texas Creek Grav Pit
October 27, 2003
$281.00 (Due on or before your anniversary date)
OCT 2 8 2003
Division of Minerals and Geology
COUNTY: La Plata
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 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 anneal rennrt and annual report min 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:
Permiftee Contact: Brace E. Nei]
Permittee Name: Neil's Excavating
Address: 486 CR 515
Ignacio, CO 81137
Phone Number: [phone] _
Fax Number: [phone]
If you have additional comments andlor 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.
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Signature of Corporate Officer, Owner, or Designee
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Date