2006-07-03_REPORT - M1982086

• Permit No: M1982086
• IBM Index Class Name: Report
• Doc Date: 7/3/2006
• Doc Name: Annual Fee/Report/Map
• From: Alpine Rock Company
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

Cyr RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
. /ANNiiAi. FF.F. and RF.PnRT RF.nITF.ST
Alpine Rock Company
NI-1982-086
Fairplay Site
June 11, 2006
~~JUL 0 3 2006
~ Division ~f Minerals and Geology
$688.00 (Due on or before your anniversary date)
Park
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 I
shall submit the annual fee, a re ort_ and man chnwing_the_e~teai4-of-current-disturbances-ta -affeofe8- a1-nd--
reclamahon accompli'shed'to date-and during'the preceding year,~new disturbances`that'aie ahticipated 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 anneal rennrt and anneal report m~ to this form- Please note [ha[ 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: Greg Gerganoff
Permittee Name: Alpine Rock Company
Address: 14802 W. 44th Ave.
Golden, CO 80403
PhoneNumber_ 303 279-6611__
Fax Number: [phone]
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
r
~~/G /p ~
Date