2005-06-16_REPORT - M2002049

• Permit No: M2002049
• IBM Index Class Name: Report
• Doc Date: 6/16/2005
• Doc Name: Annual Fee/Report Notice
• From: rio blanco county
• To: dmg
• Media Type: D
• Archive: No

RECEIVE®
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Rio Blanco CountyM
M-2002-049 ~/'~
Quinn Draw Gravel Pit
May 8, 2005
$281.00 (Due on or before your anniversary date)
Rio Blanco
JUN 16 1005
Division at Minerals and Geology
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 ynnr revised written annual rennrt and annnal re~nrt m ~n to this 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 pennittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Jea~Steele~
Permittee Name: Rio Blanco County
Address: 570 2nd St.
Meeker, CO 81641
Phone Number: (970) 8 18-5501
Fax Number: [phone]
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.
/ ~.f
S} azure o Corporate ffic r, Owner, or Designee
Date
Da...~ic( P, 1'Y~mr(a~tJ
o7~'~S
M:NERMITNIASTERD000MENTSUI-AF-04