2006-07-27_REPORT - M1987064

• Permit No: M1987064
• IBM Index Class Name: Report
• Doc Date: 7/27/2006
• Doc Name: Annual Fee/Report/Map
• From: Sandco Inc
• 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:
ANNUAL FEE and REPORT REQUEST
/Sandco, Inc.
t/ M-1987-064
Dalton Land & Cattle
August 27, 2006
REG!~9'~ED
~JUL 2 7 2006
r~ Division of Mini _ _ - ttY
$688.00 (Due on or before your anniversary date)
La Plata
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, 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,
reclamafion 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: feeireport, and associated
map (All are required regardless of the level of disturbance or absence of disturbance during the previous
year). 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: David Dillon
Permittee Name:
Address:
Phone Number:
Fax Number:
If ou have additio
bel w or attach it to
Signaturee ofCorpor
Sandco, Inc.
P.O. Box 4440
Durango, CO 81302
[phone]
[phone]
omments and/or information that should be provided to the Division, please provide it
form along with your written report and map. Annual Report instructions are enc]osed.

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