2007-01-30_REPORT - M1983158

• Permit No: M1983158
• IBM Index Class Name: Report
• Doc Date: 1/30/2007
• Doc Name: Annual Fee/Report/Map
• From: M J Cadgene
• 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 REQUEST
,iM J Cadgene
1983-158
Cadgene Pit
RECEIVED
SAN, 3 0 2007
Divi of Reclamation,
fining and Safety
January 30, 2007
$$281.00 (Due on or before your anniversary date)
Montrose
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, 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.aze_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 your revised written annual reuort and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, resort, and associated
map. If no new disturbances or reclamation have occurred durinc the previous veer and na new chances to
the previous year's maa are necessary, then no new maa is required, arovided that the Operator shall state
this in the Annual Renort. 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: M. J. Cadene
Permittee Name: M J Cadgene
Address: P. O. Box ] 0
Redvale, CO 81431
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Phone Number: [phone]
Fax Number: [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.
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Sign/atu oPC~orpor</ Off~ic~e O er, or Designee
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Date