2007-04-16_REPORT - M1982121

• Permit No: M1982121
• IBM Index Class Name: Report
• Doc Date: 4/16/2007
• Doc Name: Annual Fee/Report/Map
• From: Pitkin Iron Corporation
• 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:
~~,
ANNiiAL FEE'an ~ PORT REQUEST
- Pitkin Iron Corporation
/M-1982-121
Mid-Continent LST
Apri125, 2007
- l'PI~ 16 ?ppI
l~iviaian ai 17~ ~~~~ii®n,
~ Miniap an
ty
$$688.00 (Due on or before your anniversary date)
Garfield
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 yeaz, 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 durinc the previous year and no new chances 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 suffice far a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Pemuttee Contact: Diane Delaney
Permittee Name: Pitkin Iron Corporation
Address: 1317 Grand Avenue, Suite 228
P.O. Box 2115
Glenwood Springs, CO 81602
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. Annual Report instructions aze enclosed.
Signature of Corporate Officer, Owner, or Design
l 1 ~ ~ `l
Date