2002-03-25_REPORT - M1995009

• Permit No: M1995009
• IBM Index Class Name: Report
• Doc Date: 3/25/2002
• Doc Name: 2002 Annual Report
• From: Fisher Sand and Gravel Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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RECEIlIEp
ANNUAL FEE and REPORT REQUEST MAR 2 5 < ~~;~
Division of Minerals and GealavY
PERMITTEE NAME: Fisher Sand and Grave] Co.
PERMIT NO.: M-1995-009
OPERATION NAME: False Pit
ANNNERSARY DATE: April 5, 2002
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Kit Carson
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of [he permit, an operator
shalt submit the annual fee, a report and map showing the extent of current disturbances to affected land,
-- reclamation accomplished to date and duffing the preceding year; hew Histuebances that ate 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 annual resort and annual report map 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 perntittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Ray Leahy
Permittee Name: Fisher Sand and Gravel Co.
Address: P.O. Box 1120
Spearfish, SD 57783
Phone Number: [phone]
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.
March 22, 2
Date
Agent
M:IPERM) 71MA57ERD000MENTSIM-AF-O]