2001-10-15_REPORT - M1979192

• Permit No: M1979192
• IBM Index Class Name: Report
• Doc Date: 10/15/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

1111111111111111111 RECEIVED
999 OCT 15 2001
ANNUAL FEE and REPORT REOUEST Division of Minerals and Geology
PERMITTEE NAME: Pete Lien and Sons, Inc.dba Trans Colorado Concrete
PERMIT NO.: M-1979-192
OPERATION NAME: Spotted Burro Pit
ANNIVERSARY DATE: October 14,2001
ANNUAL FEE DUE: $688.00(Due on or before your anniversary date)
COUNTY: Fremont
According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-1 16, 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 annual report and annual report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements nrav suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Lecia Craft
Permittee Name: Pete Lien and Sons, Inc. dba Trans Colorado Concrete
Address: P.O. Box 767
Rapid City, SD 57709-0440
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.
Sigp Lure of torporate Officer or Owner
Date
AI:TERM1T W ASTERDOCUMENTS\M-AF-01