2005-10-12_REPORT - M2002096

• Permit No: M2002096
• IBM Index Class Name: Report
• Doc Date: 10/12/2005
• Doc Name: Annual Fee/Report/Map
• From: Ranch Land LLC
• To: DMG
• Media Type: D
• Archive: No

03-OCT-2005 11:14 FROM-Colorado Division at Minerals 8 Geology [phone]
PERMTI"I'EE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
9f,=~;'~
~nch Land, LLC
~/M-2002-096
Ranch Land Rock kit #1
OMOber 15, 2005
T-T51 P.002/002 F-507
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RECE~ VED
`~OCT~y~
vision of Minerals and Ceolagy
$68g.00 {Doc on or before your anniversary date)
Fremont
According to C.R.S. 3432.5-116 ar C.RS_ 34-32-1 I6, each year, on the anniversary date of the pernrit, an operetor
shall submit the atmual 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 ttpcoming year, reclamation that will be performed during the coming year, the dates for the bebimring
of active operations, and the date active operations ceased for the year, if any.
Please artarh ynnr revised writ(pn annnat report and ann r 1 rennet map to tnic fnrm_ please ante that an
adequately labeled map that clearly delineates and includes the above elements logy since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Petmittee Contact: William Peeta
Petmittee Name: Ranch Land, LLC
Address: 3925 hill Circle
Colorado Spring, CO 80904
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and(or information that should f>e provided to the Division, please provide it
below or attach it to this fmm alottg with your written report and map. Atmual Report instntctions are enclosed.
Signature of Corporate O c ,Owner, or esignee
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