2004-07-21_REPORT - M1998052

• Permit No: M1998052
• IBM Index Class Name: Report
• Doc Date: 7/21/2004
• Doc Name: Annual Fee/Report/Map
• From: Everist Materials LLC
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Everist Materials, LLC
M-1998-052
Mascot Placer
July 22, 2004
~~
RECEIVED
JUL 2 ~ 2004
Oivi3icn of M+ttorai'.4 ~ Qrel®py
$281.00 (Due on or before your anniversary date)
Summit
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 andsnap-showing. the extent of_cun•ent 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 ynnr revised written annual report and anneal re~nrt main to this form- Please note [hat 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:
Permittee Contact:
Permittee Name:
Address:
Phone Number:
Fax Number:
~j~o- ~~ss- a~sc~
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.
Signatm`e q C r~porate Officer, Owner, or Designee
Greg Norwick
Everist Materials, LLC
28755 Hwy 9
P.O. Box 1150
Silverthorne, CO 80498
[phone]
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Date