2003-01-27_REPORT - M1985210

• Permit No: M1985210
• IBM Index Class Name: Report
• Doc Date: 1/27/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Rocky Road Investments
M-1985-210
Rocky Road Quarry
January 27, 2003
$688.00 (Due on or before your anniversary date)
Larimer
RECEIVED
JAN 2 7 2003
Division of Minerals and Geology
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 fe~,_a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated [o 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 renort and annual report m ~n to this form- 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: Douglas J. Bachii
Permittee Name: Rocky Road Investments
Address: P.O. Box 63
Masonville, CO 80541
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide i[
below or attach it to this form along with your written report and map. Annual Report ins[mctions are enclosed.
Signature of Corporate Officer, Owner, or Designee
Date
M:NERMrM1ASTERDOC U M ENTSUI-AF-01