2001-01-09_REPORT - M1997084

• Permit No: M1997084
• IBM Index Class Name: Report
• Doc Date: 1/9/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
i III IIIIII!IIIIIIIII ~k ~#tas3 \ ~~ ~ ~°
RECEIVED
ANNUAL FEE and REPORT REQUEST JAN 0 9 2001
Ouray Associates, LLC
`.~VI-4497-084
Division of Minerals and Ceology
RECEIVED
Memphis
JAN 2 9 2001
February 2,2001
Division of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Ouray
According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-I 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 [o 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 [he date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual resort maa to this form. Please Hole !ha! an
adequnlely labeled reap !ha! clearly delineates and includes the abore elements mqy suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes: _ / / /
Permittee Contact: James F. Poulos ~F __ !J
Permittee Name: Ouray Associates, LLC 818 FOX HOLLOW W
Address: 12002 W. 14th Ave.
Golden, CO 80401
Phone Number: [phone] 3'~~7ry3 ~ ~ 3g2
Fax Number: [phone] ~~ -~ /~ '0.3~'~
If you have additional comments and/or information that should be provided to the Division, please provide i[
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
~8ignature of Corporate Officer __O_.,^e~
l .ZS`. mo
Date

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