2006-03-22_REPORT - M1981302

• Permit No: M1981302
• IBM Index Class Name: Report
• Doc Date: 3/22/2006
• Doc Name: Annual Fee/Report/Map
• From: The Regents of the Unviersity of Colorado
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITI'EE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
The Regents of the University of Colorado
M-1981302
Deepe Parm Pit
AprU 20,2006
5688.00 (Due on or before your anniversary date)
Boulder
RC~~IiI~©
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According to C.RS. 3432.5-1 I6 or C.R.S. 34-32-1.16, each year, on the anniversary date of the perrnit, an operator
shall submit the annual fee, a report and map showing We extent of current disturbances to affected land,
- ---- - - =reclamation accomplished to-date and-dnrittg-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.
Pla ee Att9rh yn»r rP.yiAEd Wrdttn»ay nAn f ra~nrt and ann»ai rrrnrt mpp to thle fnrni please note that an
adequately labeled map that clearly delineates and includes the above elements moy suJjice for a written report.
Division records indicate the following pemrittee contact information. Please verify and make any necessary
changes:
Petmittee Contact: Jeffrey 5. Lipton
Permittee Name:
Address:
The Regents of the University of Colorado
453 UCB
University of Colorado
Boulder, CO 80309
Phone Number: [phone]
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. Awruai Report instructions are enclosed.
Signatu ~f orp to cer, Owner, or Designee
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Date