2001-10-17_REPORT - M1998065

• Permit No: M1998065
• IBM Index Class Name: Report
• Doc Date: 10/17/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE aud REPORT REOUEST RECEIVED
PER-MITTEE NA.41E. Washington County OCT 17 2001
PERMTr NO -M-1998-063
OPERATION NAME: Hayes Pit Division of Minerals and Geology
ANNIVERSARY DATE: September 18,2001
.4NNUAL FEE DUE: 3281[.00(Due ou or before your anniversary datel
COL-NTY: Washington
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116. each ),esl, on the anniversary date of the permit, an
operator shall submit the annual fee, a report and map showing the extent o;current disturbances tD affected
land,reclatnat;on accomrlished to date and during the preceding year, re% disturbances that are auricipated to
occur during the upcoming year., reclamation that will be performed during the cernin�- year. the dates for the
beginning of active operatinos_ and the date active operatiors ceased for the year, if any.
Please attach vour revised written annual report and annual report rnao to this form. Please more Thar an
adequxely labeled map that clearly delinnares and includes the above elements may sul7fce for a written
report
Dr;ision records indicate the foilowin; permittee contact information_ Please verify and make any necessary
chaa„tr:.
Pemanee Contact: Charles 3.Kuntz
Permntee Nanme: Washington County
Address: 150,ash
Akron,CO 80720
Phone Number: [phone] i
I
Fa-.Number: [phone]
f you have additional comments andlor information that Ehould be provided to the Di ision, please provide it
below or attach it to this form :bong with your written report and map. Annual Rcpnn instructions are
enclosed. <
Sig-alure of Corpo ate Officer drbwner
/D -16 -o /
Date
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