2006-07-03_REPORT - M1997011 - Laserfiche WebLink

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bM ~ v ANNfiAf, FF,F, and RF.PnRT RF.nTiF.ST RECE[VED ~JUL 0 3 2006 /~ivision sf Minerals and Geology PERMITTEE NAME: t~ Baculite Mesa LLC PERMIT NO.: / v M-1997-011 OPERATION NAME: Baculite Mesa Pit ANNIVERSARY DATE: July 9, 2006 ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) COUNTY: Pueblo _ _ _ According to C.R.S. 34-32.5-116_ or C.R.S. 34-32_I 16, each year, on the anmiversary date_nf 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 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 your revised written anmral report and annnal rennrt ma=n, to this form" The Annual Report & Fee requirement is not met until we have received the following 3 components: fee,`ern~t, and associated map (A113 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 suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Fred J. Orr Permittee Name: Baculite Mesa LLC Address: 5040 Acoma "Denver, CO~ 80216-2010 Phone Number: (303) 295-1216 Fax Number: (303) 295-1256 303-295- 1313 If you have additional comments and/or information that should be below or attach it to this form along with your written report and map. Signature of Corpo to Officer, Owner, or Designee provided to the Division, please provide it Annual Report instructions are enclosed. ~l3~ly~ Date ~