2006-03-20_REPORT - M2002120

• Permit No: M2002120
• IBM Index Class Name: Report
• Doc Date: 3/20/2006
• Doc Name: Annual Fee/Report/Map
• From: Hall-Irwin Corporation
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
(/ ANNTTAi, FF.F. and RF.P(1RT RFOiTFST
/ Hall-Irwin Corporation
,~ M-2002-120
Bernhardt Resource
April 15, 2006
$688.00 (Due on or before your anniversary date)
Weld
RECEIVED
'' MAR 2 0 2006
Division ~f Mrnerels and Geology
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 ]and,
___ .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 attarh,ynnr revised written anneal report and anneal rernrt mad to this form. Please note that an
adequately labeled nrap that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Jeff Oregg
Permittee Name: Hall-Irwin Corporation
Address: 301 Centennial Dr.
Milliken, CO 80543
Phony Number: [phone]
Fax Number: [phone]
quo-_ S&~- 7Z79 (/
n-t ~o -S8~ - ~28ei
If you have additional comments and/or 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.
Signatu of C orate Offic weer, or Designee
3 ~i 7 ~oC,
Date