2004-05-29_REPORT - M1984036

• Permit No: M1984036
• IBM Index Class Name: Report
• Doc Date: 5/29/2004
• Doc Name: Annual Fee/Report/Map
• From: Varra Companies Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Varra Companies, Inc.
M-1984-036
Dakolios Pit No. 1
June 1, 2004
$688.00 (Due on or before your anniversary date)
Weld
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-year,-new-dishirbances_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 anmial re,~nrt and anmial report maw 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: Christopher L. Varra
Permittee Name: Varra Companies, Inc.
Address: 8120 Gage St.
Frederick, CO 80516
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.
. ~~
Signat ~oJf Corporate Officer, Owner, or Designee
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Date