2004-09-10_REPORT - M1989092

• Permit No: M1989092
• IBM Index Class Name: Report
• Doc Date: 9/10/2004
• Doc Name: Annual Fee/Report/Map
• From: Oaklands Ranch
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Oaklands Ranch
M-1989-092
Oaklands Ranch
October 26, 2004
$281.00 (Due on or before your anniversary date)
Douglas
~ECE~V~
SEP 10 2004
Division +f Minerals and Geology
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 ale anticipated to occur
during the upcoming yeaz, 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 attachymrr revised written annual rennrt and annual rePnr 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: David Curtis
Permittee Name: Oaklands Ranch
Address: 1613 N. Peny Pazk Rd.
Sedalia, CO 80135-8511
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 aze enclosed.
Si lure of Corporate Officer, Owner, or Designee
9- 8-0~
Date