2005-06-21_REPORT - M2000041

• Permit No: M2000041
• IBM Index Class Name: Report
• Doc Date: 6/21/2005
• Doc Name: Annual Fee/Report/Map
• From: cr evans
• To: dmg
• Media Type: D
• Archive: No

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JUN 2 1 2005
IEE NAME:
NO.:
ION NAME:
iLSARY DATE:
L FEE DUE:
CR Evans
M-2000-041
Evans #2 Pit
June 21, 2005
Division of Miiecrais & Geology
$688.00 (Dee on or before your anniversary date)
Pueblo
According to C.R.S. 3432.5-116 or CRS. 3432-116, each year, on the amnversary date of the permit, an operator
_ _ shall subuµt the amiual_fee, a.seport and .map.shorving the extent.of.current.disfarrbances_to.affectedJaudr_ ___
reclamation aoeomplished to date end during the preceding year, new disturbances that are anticipsted to occur
duni ng the upcomiag year, reclamation that will be ptrfom~ed during the coming year, the dates for the beginning
of acuvo operations, and the date active operations ceased for the year, if any.
Please a 901, -rout ,Pevised written-annual rannrt and annual re,Qn~[ man [n th c form. please note that an
adequately labeled map 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:
Pemrittee Contact: C.R. (Dick) Evans
permittee Name: CR Evans
Address: 231 Nyberg Rd.
Pueblo, CO 81006
Phone Number. (719) 948528
Peic Number.
Jf 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.
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