2007-04-26_REPORT - M1981302

• Permit No: M1981302
• IBM Index Class Name: Report
• Doc Date: 4/26/2007
• Doc Name: Annual Fee/Report/Map
• From: The Regents of the University of Colorado
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~~~~~~
ANNUAL'FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE
ANNUAL FEE DUE:
COUNTY:
/The Regents of the University of Colorado
~M-1981-302
Deepe Farm Pit
Apri120, 2007
$688.00 (Due on or before your anniversary date)
Boulder
r '+,a?!
~'~ ~~.
`~~~'~ °-
a.
o"" ~ ~ ~ ~ 'rip
/Iini ga~~~i,~y~~
_'°~Y~.
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 shot' ing 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 written annual report and auuual report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Jeffrey S. Lipton
Permittee Name: The Regents of the University of Colorado
Address: 453 UCB
Boulder, CO 80309-0453
Phone Number:
Fax Number:
[phone]
[phone]
If you have additional comments and/or information [hat 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 or Owner
Date