2007-09-14_REPORT - M2001097

• Permit No: M2001097
• IBM Index Class Name: Report
• Doc Date: 9/14/2007
• Doc Name: Annual Fee/Report/Map
• From: The Fort Lyon Canal Company
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
The Fort Lyon Canal Company
M-2001-097
Fort Lyon -State Pit No. 1
October 8, 2007
$$791.00 (Due on or before your anniversary date)
Bent
-°According ta-C-:R:S-34-323-1=16sr-G.R.S.-34-32_L16,_each year,_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 land,
' ~ reclamation accomplished'to date -and during the precedingyear,'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 annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred durinti the previous year and no new chanties to
the nrevious year's man are necessary, then no new man is required, provided that the Oaerator shall state
this in the Annual Report. 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: Manuel Tonez
Permittee Name: The Fort Lyon Canal Company
Address: 750 S. Bent Ave.
Las Animas, CO 81054
Phone Number: [phone]
Fax Number: [phone]
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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.
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Signature of Corporate Offi Owner, or Designee
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Date