2006-01-13_REPORT - M1977407

• Permit No: M1977407
• IBM Index Class Name: Report
• Doc Date: 1/13/2006
• Doc Name: Annual Fee/Report/Map
• From: Montrose County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

=ASS
RECEIVED
PERMITTEE NAME:
PERMTT NO.:
OPERATION NAME:
ANNP/ERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Montrose County ~/
M-1977-407 /
Cedar Creek Pit
January 30, 2006
$688.00 (Due on or before your anniversary date)
Montrose
JAN 1 3 200& '~
Orvisn,:: „i i0:neiar and Geology v
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 yeaz, new disturbances that are anticipated to
occur during the upcoming yeaz, 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 y~nr revised written annual retort and annnal re0nrt main to this 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: Brian Wilson v
Permittee Name: Montrose County
Address: 161 S. Townsend ~
Montrose, CO 81401 v
Phone Number: [phone]
Fax Number: {970) 252-7010 ~
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.
Signature of Corporate Officer, Owner, or Designee
Date
M:~PERMI1Vv1ASTEADOCUMENTS~M-AF-04