2006-11-09_REPORT - M1977446 - Laserfiche WebLink

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ii i~-r~~ ,~c~ PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNNERSARY DATE: ANNUAL FEE DUE: COUNTY: ANNUAL FEE and REPORT REQUEST ~ Sheldon Gosney f/ M-1977-446 Ignacio Pit December 30, 2006 $$688.00 (Due on or before your anniversary date) La Plata RE~FtU~® `//~NOV 0 g 2006 vDivision of Reclamation, Mining and Safety 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, isew 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 yeaz, 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 maa. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to the arevious vear's maa are necessary, then no new map is required, arovided that the Oaerator 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: Sheldon /n~ Permittee Name: -~~T --- Sheldon Gosney Address: P.O. Box 1186 Bayfield, CO 81122 Phone Number: (970) 563-9000 Fax Number: (970) "~ SG3-yagy . 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 aze enclosed.