2006-12-18_REPORT - M1982155

• Permit No: M1982155
• IBM Index Class Name: Report
• Doc Date: 12/18/2006
• Doc Name: Annual Fee/Report/Map
• From: Schmidt Construction Company
• 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:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
//Schmidt Construction Compauy
M-1982-155
Fountain Pit
December 31, 2006
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t2'-g-d°
SEC ~ 02006
~p1viM ~^n9 and Ss ~o^
$$688.00 (Due on or before your anniversary date)
EI Paso
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 fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding year,-new3isturbanoe`s Yhat are anticipated fo 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 vour 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 distnrbances or reclamation have occurred durine the previous vear and no new chanties to
the previous year's map are necessary. then no new map is required, provided that the Operator shall state
this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the
above elements may s~ce for a written report.
Division records indicate the following permittee contact information Please verify and make any necessary
changes:
Permittee Contact: Scott Davis
Permittee Name: Schmidt Construction Company
Address: 2635 Delta Dr.
Colorado Springs , CO 80910
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be
below or ttach it to this form along with your written report and map.
Signature of orporate Officer, caner, or Designee
provided to the Division, please provide it
Annual Report instructions are enclosed.
Date