2002-01-30_REPORT - M1977151

• Permit No: M1977151
• IBM Index Class Name: Report
• Doc Date: 1/30/2002
• Doc Name: Annual Fee/Report/Map
• 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:
COUNTY:
ANNUAL FEE and REPORT REQUEST
R M Hiner Construction Co., Inc.
M-1977-151
Greeley Pit
RECEAVEp
JAN 3 0 2002
~1,~
January 30, 2002 Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Weld
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 l6, 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-aecomptishedto-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
ndequately Inbeled map that clenrly 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 Con[ac[: Rex M. Hiner
Permittee Name: R M Hiner Construction Co., Inc.
Address: 2220 "O" St
Greeley, CO 80631
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided [o [he Division, please provide i[
below or attach i[ [o [his form along with your written report and map. Annual Report instructions are enclosed.
X61\ ~- ~IDVJ~,
Signature of Corporate Officer or Owner
January 28, 2002
Dale
M IPERAtITU1ASTERD000~IENTSNI-AF~01