2001-01-26_REPORT - M1985210

• Permit No: M1985210
• IBM Index Class Name: Report
• Doc Date: 1/26/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

III 999
ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: Rocky Road Investments RECEIVED
PERMIT NO.: M-1985-210
OPERATION NAME: Rocky Road Quarry
JAN 2 6 2001
ANNIVERSARY DATE: January 27,2001 Division o( ineralsandGeology
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Larimer
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary da a 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 your revised written annual report and annual report map to this form. Please note that an
adequately labeled nrap 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 ake 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 this form along with your written report and map. Annual Report instructions are
enclosed.
Ir
Signal6e f rporate Officer or Owner
4A.,
Date
M'�PERM ITNIASTERMKUMENTS�M1I-AF-01