2005-09-29_REPORT - M1993035

• Permit No: M1993035
• IBM Index Class Name: Report
• Doc Date: 9/29/2005
• Doc Name: Annual Fee/Report/Map
• From: Alpine Rock Company
• To: DMG
• Media Type: D
• Archive: No

C~ M
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
AF r~'F-
ANNiiAi, FF.F, and RF,PI-7R~T RF.(1iTF.ST
Alpi a Rock Company ' '
-1993-035
Swan River Resource
October 4, 2005
~CE~~~®
SEP 2 92005
%V Division of Minerals any irealaOY
$688.00 (Due on or before your anniversary date)
Summit
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~ubmil the annual fee._ a report and man showier 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 rennrt and annnal report m =n to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact:
Permittee Name:
Address:
Gregory Z. Gerganoff
Alpine Rock Company
14802 W. 44th Ave.
Golden, CO 80403
Phone Number: [phone]
Fax Number: _ [phone]
If you have additional comments and/or information that should be provided to the Division, please provide
below 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

Date