2006-07-14_REPORT - M2000030

• Permit No: M2000030
• IBM Index Class Name: Report
• Doc Date: 7/14/2006
• Doc Name: Annual Fee/Report/Map
• From: DMG
• To: Agri-DLD LLC
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

Mme'
I^~c"~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNE1tSARY DATE:
ANNUAL FEE DUE:
COUNTY;
`~ ANNiiAi, FF.F, and REPORT RF.niTFST RECEl~E~
~, ~AGRI-DLD, LLC
i/ M-2000-030
AGRI-DLD Gravel Pit
July 5, 2006
~~''~JUL 14 2006
u~visian of Minerals and Caolopy
$688.00 (Due on or before your anniversary date)
La Plata
- ___According-to_C-BS._34-32:5-I_l•6•or.~IbS,-34-32-1-i6-eael~--yesr; ea-the-sr.::i~,tir-~~fe-aftl;cperrit; an-op~~ator
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 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 ynnr revised written anmral report and annnal report m ~n to this form- The Annual Report
& Fee requirement is not met until we have received the following 3 components: ss, rennr ,and ascnciated
map (All 3 are required regardless of the level of disturbance or absence of disturbance during the previous
year). Please note that an adequately labeled map that c[eardy delineates and includes the above elements may
suffieeforawritten report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Pennittee Contact:
Permittee Name:
Don Gosney
AGRI-DLD, LLC
Address: P.O. Box 367
Bayfield, CO 81122
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.
' C/ ~''~.~ ~ iE
Signatur~e'of Corporate Officer, Owner, or De rgnee
Date ~ ~T r ~ v