REP00043 ‎(2)‎

999
ANNUAL REPORT
o �PERMITTEE NAME: Bill Kobobel
PERMIT NO.: M-1991-123 REC ED
OPERATION NAME: Idaho Creek Resource r- G %j'U1z
ANNIVERSARY DATE: March 10, 2000 s J�olthneta",6Geology
ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00
COUNTY: Weld
According to C.R.S. 34-32-116(3)(a), 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 annual report may and written report to this annual report. Please
note that an adequately labeled map that clearly delineates and includes the above elements may
suffice for a written report.
Please type or print the current contact person's name, mailing address, and phone number in the space
provided:
ContactName:Bill Kobobel Company:Idaho Creek Gravel Co , Inc .
Address: 7909 weld County Road #5 Phone No.: (i o 1 ) 77?-6g16
Longmont , CO 80504 FAX No.: (303 ) 774-9808
If there are additional comments and/or information that should be provided to the Division, please
provide it on a separate sheet and attach it to this report form along with your map and/or written
report.
Signature of Corporate Officer, or Owner Date
INSTRUCTIONS ON BACK
M:1PERA7rrV.fASTERDOCUMENTS W-AF-01