2006-02-27_REPORT - M1983208

• Permit No: M1983208
• IBM Index Class Name: Report
• Doc Date: 2/27/2006
• Doc Name: Annual Fee/Report/Map
• From: Montrose County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

. ;,
PERMFfTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:

%F~RPi
Montrose County
M-1983-208 /
Shavano Pit
March 7, 2006
RECEIVED
/~B 27 Zoos
S sS
j~ypp pf Minerals one Geob9Y
$688.00 (Due on or before your anniversary date)
Montrose
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an
operator shall submit the annual fe_e, a report and m_ap showing the extent of current dist~rbanc c o off c1ted
--- 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 ynnr revised written annual rennrt and annual reppft m ~n 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:
Q *.~
Permittee Contact: Bre ood Y.~N~,.~/ KI ICJ ~ ~,C/,I ~.SO~
Permittee Nam Montrose County ' v( O n,~'ru.u e_.04 n
Address: 161 S. Townsend l ~ / S TOLJn SP/1~
Montrose, CO 81402

Phone Number: [phone] ~/'y ~C7, 02 S~ - 70Q ~
Fax Number: [phone] (~7~~ o7S~ ' 70/(~
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.
/ ~ ~
~gnature of Corporate Officer, Owner, or Designee
~ f ..r~bL
Date
M:~PERMI'nMASTERDOCUMENTS~M-AF-04