2016-07-28_REPORT - M1999006

• Permit No: M1999006
• IBM Index Class Name: Report
• Doc Date: 7/28/2016
• Doc Name: Annual Fee/Report/Map
• From: Kurtz Resource Recovery & Land Development Project
• To: DRMS
• Annual Report Year: 2016
• Email Name: PSH
• Media Type: D
• Archive: No

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20. Does your permit require you to submit monitoring information annually? YES NO N/A
If"Yes",please attach the required monitoring results to this Annual Report.
21. As required by Colorado Mined Land Reclamation Act and/or Colorado Land Reclamation Act for the Extraction of
Construction Materials(C.R.S.34-32-116 or 34-32.5-116),attach a map to this report that accurately depicts the
permit boundary,current affected area boundary and location of the acreages specified in items 7- 12 and 14.
UPDATED MAP ATTACHED: Yes
Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact: Christopher L.Varra
Permittee Company: Varra Companies,Inc.
Address: 8120 Gage St.
Frederick, CO 80516
Phone Number: [phone]
Fax Number:
Email Address:
I, the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance wit e Division approved mining and reclamation plans.
41 �L - Z 71
Signature o ermittee,Corporate Officer, Owner,or Documented Designee Date