2007-02-15_REPORT - M2000156

• Permit No: M2000156
• IBM Index Class Name: Report
• Doc Date: 2/15/2007
• Doc Name: Annual Fee/Report/Map
• From: Coulson Excavating Company, Inc.
• 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 REpUEST
~C/oulson Excavating Company, Inc.
/M-2000-156
Bonner Pit
March 5, 2007

'~E~ 15 2007
Div+,ion oT F'ecl~i nation,
Mining and Safety
$$688.00 (Due on or before your anniversary date)
Larimer
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-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 map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances 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: Ken Coulson
Permittee Name: Coulson Excavating Company, Inc.
Address: 3609 N. CR 13
Loveland, CO 80538
Phone Number:
Fax Number:
[phone]
[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.
***work at the Bonner Pit has not started as of this date.
Signature of Corpora Offi er, Owner, or Designee
Diana Moneypenny, Corp. Sec.
Date