2006-10-19_REPORT - M1981154

• Permit No: M1981154
• IBM Index Class Name: Report
• Doc Date: 10/19/2006
• Doc Name: Annual Fee/Report/Map
• From: San Miguel County
• To: DRMS
• 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:
ANNUAL FEE and REPORT REQUEST
L/ San Miguel County
/ M-1981-154
Norwood Pit
November 20, 2006
F~~CE9V~®
~'.~OCT 19 7006
Y Division of Reclamation,
Mining and Safety
$688.00 (Due on or before your anniversary date)
San Miguel
According to CR.S. 34=32.5-116-or C:R:S-34=32=116, each-year;-on`tlte 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 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 vour revised written annual report and annual report mau to this form. The Annual
Report & Fee requirement is not met until we have received the following components: fee, reuort, and
associated map. If no new disturbances or reclamation have occurred durinc the arevious vear and no
new chances to the previous year's map are necessary. then no new map is required, provided that the
Oaerator shall state this in the Annual Report. Please note that an adequately labeled map that clearly
delineates and includes the above elements may suffzce for a written report.
Division records indicate the following pennittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Mike Homer
Permittee Name: San Miguel County
Address: P.O. Box 426
Norwood, CO 81423
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 are
enclosed.
ignature of Corporate Officer, Owner, or Designee
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Dale
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