2005-07-22_REPORT - M1987064

• Permit No: M1987064
• IBM Index Class Name: Report
• Doc Date: 7/22/2005
• Doc Name: Annual Fee/Report/Map
• From: sandco inc
• To: dmg
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Sandco, Inc.
M-1987-064
Dalton Land & Cattle
August 27, 2005

JUL 2 2 2005
M `^~
rto, hhPs
Olvislon of Miaarafs & Gaology
$688.00 (Due on or before your anniversary date)
La Plata
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-tke annual-fee, 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 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 ynnr revised written annnal report and annnal report ma„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: David Dillon
Permittee Name:
Address:
Sandco, Inc.
P.O. Box 4440
Durango, CO 81302
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
bc~ow or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
~\
Signature of Corporate Officer, Owner, or Designee
`7- ly- ds
Date