2005-10-14_REPORT - M1998071

• Permit No: M1998071
• IBM Index Class Name: Report
• Doc Date: 10/14/2005
• Doc Name: Annual Fee/Report/Map
• From: Richard Fryrear
• To: DMG
• Media Type: D
• Archive: No

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RECEeVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
°~12r~and Fryrear
viVI-1998-071
Fryrear Gravel Pit
November 6, 2005
$281.00 (Due on or before your anniversary date)
Yuma
~~CT t 4 2005
'~ pivision of Minerals and Geology
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 renort and maR showing the extent of current disLarbauces._taaffected_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 yllltr revised written annual report and annual report m n 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: Richard Fryrear
Permittee Name: Richard Fryrear
Address: 8085 CR 13
Haxtun, CO 80731
Phone Number: [phone]
Fax Number:
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 Corpo e Officer, Owner, or Designee
~- /3 - os
Date