2003-09-08_REPORT - M1998047

• Permit No: M1998047
• IBM Index Class Name: Report
• Doc Date: 9/8/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL EEE DUE:
COUNTY:
Moffat County
M-1998-047
Mantle Pit #3
September 9, 2003
S~~ n B 2003
Division of Minerals and GeoloAY
$688.00 (Due on or before your anniversary date)
Moftat
- According to-C.R.S. 34-32.5=116 or-C.-R:S. 34-32-116, each year, on [he anniversary date of the permit, an
operator shall submit [he 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 anm~al report and annnal report man to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since jor a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Billy Mack
Permittee Name: Moffat County
Address: P.O. Box 667
Phone Number:
Fax Number:
Craig, CO 81626
[phone]
[phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to thicJ..!' x~a~!h._~~written report and map. Annual Report instructions are
STOCKPILE REDUCTION ONLY - NO MAP NECESSARY
Signature of~rporate Officer, Owner, or Designee
August 20, 2003
Date
M:\PF.RMITVv1ASTE R DOC UM ENTSUI-AF-04