2004-11-18_REPORT - M1996060

• Permit No: M1996060
• IBM Index Class Name: Report
• Doc Date: 11/18/2004
• Doc Name: Annual Fee/Report/Map
• From: Hall-Irwin Corporation
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE-
Hall-Irwin Corporation
M-1996-060
Firestien Pit
December 31, 2004

COUNTY:
$688.00 (Due on or before your anniversary date)
Weld - - - - -- -"°--------
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 yeaz, 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 anmial re~nrt and annnal re n~ rt map 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 permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Jim McFarland- - - "
Permittee Name: Hall-Irwin Corporation
Address: P.O. Box 519
Greeley, CO 80632
Phone Number: [phone]
Fax Number:
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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.
igna e o orporat fficer, Owner, or Designee
Ij~i ~~oy
Date