2006-01-27_REPORT - M1985210

• Permit No: M1985210
• IBM Index Class Name: Report
• Doc Date: 1/27/2006
• Doc Name: Annual Fee/Report/Map
• From: Rocky Road Investments
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Rocky Road Investments
M-1985-210
Rocky Road Quarry
January 27, 2006
JAN 2 7 2006
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Lorimer
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-th2'amittal-fee,-a-relsort-attd-map'shawing the extent-o-f current-disturbances to`affecte~"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 anneal re~nrt and anneal re~nrt man to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suj~ce for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Douglas J. Bachli
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 it
below or attach it to thya~form~along with your written report and map. Annual Report instructions are enclosed.
{ /_ /,.
Signature o[,Co~Pfe Officer, Owner, or Designee
Date