2005-08-29_REPORT - M1993023

• Permit No: M1993023
• IBM Index Class Name: Report
• Doc Date: 8/29/2005
• Doc Name: Annual Fee/Report/Map
• From: Moffat County
• To: DMG
• Media Type: D
• Archive: No

1G-AUG-2006 11:28 FROtFColorado Division of tlinarals 8 Gealasv [phone] T-351 P.002/008 F-743
PERMTI"I'F.E NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
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Moffat Connty
~~I-1993-023
Cross Mountain Pit 1
Jaly 1, 2005
$688.00 (Due on or before your anniversary date)
Moffat
`~AUG 2 9 2005
division of Minerals aoo G-.;..~.
According to C.R.S. 34-3Z.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 vnnr rvvicQ~] written annual re~nrt and annul re o m to this fnrm_ please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a writters
report.
Division records indicate the following pamittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Billy E. Mack
Permittee Name: Moffat County
Address: P.O. Box 667
Craig, CO 81626
Phone Number: (970) 8243211
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below ar attach it fA this form along with your written report and map. Annual Repaat inshuctions are
enclosed.
PIT UNDER RECLAP1ATIDN AND STOCKPILE REDUCTION
NO MAP REQUIRED
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Signature o orpotate Officer, Owner, or Designee
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