2006-03-22_REPORT - M1981302 ‎(5)‎

• Permit No: M1981302
• IBM Index Class Name: Report
• Doc Date: 3/22/2006
• Doc Name: Annual Fee/Report/Map
• From: The Regents of the University of Colorado
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~iC~~l~'
MAR Z 2 2006
Dmsron of Mmerais and pao
bBY
PERMTI'CEE NAME:
PERMTT NO.;
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
The Regents of the University of Colorado
M-1981-302
Deepe Farm Pit
Apri120, 2006
$688.00 (Due on or before your anniversary date)
Boulder
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1.16, 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~re 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 ymir revised written annnai rppnrt and anneal re n m tQthic form 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: Jeffrey S. Lipton
Pennittee Name: The Regents of the University of Colorado
Address: 453 UCB
University of Colorado
Boulder, CO 80309
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.
Signa f orpo to O facer, Owner, or Designee
~/i~~~
Date