2006-10-18_REPORT - M1978208

• Permit No: M1978208
• IBM Index Class Name: Report
• Doc Date: 10/18/2006
• Doc Name: Annual Fee/Report/Map
• From: Elk Creek Sand & Gravel LLC
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Aspen Enterprises
M-1978-208
Shaffers Crossing
June 16, 2006
$281.D0 (Due on or before your anniversary date)
Jefferson
RECEIV~°~
OCT 182t1sE5
Division of Recla~~• -uon,
Mining and Sar tY
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, 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 ]and,
reclamation accomplished to date and during -the precedmg year, new .disturbances -that are anticipated to occur
during the upcoming yeaz, 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 vmrr revised written annual renort and anm~al report map to this form- please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report..
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: William S. Peterson
Permittee Name:
Address:
Phone Number:
Aspen Enterprises
12383 Wamblee Valley Road
Conifer, CO 80433
[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 Corporate Officer, Owner, or Designee ~~ ~ ' i7~
Date
C®~~