2003-08-05_REPORT - M1986025

• Permit No: M1986025
• IBM Index Class Name: Report
• Doc Date: 8/5/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

..
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
R E Monks Construction Co.
M-1986-025
Mitchell Mine No 1
July 29, 2003
$281.00 (Due on or before your anniversary date)
EI Paso
AFc~~~Fo
G ~
O~~lslon.` 0 Z~3
M'nejalsa~d
~B%9y
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 your revised written anneal report and anneal re nn rt mad to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Dennis Good
Permittee Name: R E Monks Construction Co.
Address: P.O. Box 25579
Phone Number:
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.
Signature of Corplbra`ip Officer, Owner, or Designee
z~-~
Date
Colorado Springs, CO 80936
[phone]
M:\PERMIN1ASTERDOCUMENTSVN-AF-01