2007-05-29_REPORT - M1977500UG

• Permit No: M1977500UG
• IBM Index Class Name: Report
• Doc Date: 5/29/2007
• Doc Name: Annual Fee/Report/Map
• From: DRMS
• To: Russell D Neesham
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~~RP~
ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Russell D Newham
t/M-1977-500-UG
Peggie Mines
June 29, 2007
!~
is
r
_ , ~a~
Oim-,
M^~ 29?0J7
9 aqo~ gatar~ oq,
$$225.00 (Due on or before your anniversary date)
Montrose
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 shallsubmit-the_annual-fee,-a-report andmap~shawing the-extent of cun~ent disturbances'to-affec[ed-- ^ -
land, reclama8on~accomplished-to date•and~during the preceding year,-new disturbances-that are-ar[ticigated'YO
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 mao to this form, The Annual
Report & Fee requirement is not met until we have received the following components: fee, resort, and
associated mao. If no new disturbances or reclamation have occurred durinti the previous year and no
new chanties 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 since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Russell D. Newham
Permittee Name: Russel] D Newham
Address: P.O. ]Box 314
Nucla, CO 81424-0314
Phone Number: [phone]
Fax Number:
If you have additional conunents 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.
{7
`/'/l ~~ N~ ~~ max,,»-
Signature o Corporate Of [cer, Owner, or Designee
S` 10
Date
M:SPERMITVNASTERDOCUMEMSMf-AF-02.DOC