2006-07-24_REPORT - M1981114

• Permit No: M1981114
• IBM Index Class Name: Report
• Doc Date: 7/24/2006
• Doc Name: Annual Fee/Report/Map
• From: La Plata County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
PERMTTTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
La Plata Connty
~M-1981-114
Crader Gravel Pit
June 27, 2006
RECE~VLD
~JUL 2 41U06
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
La Plata
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 accomph`shedto date and during [he preceding year, new disturbances tha[ 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 vour revised written annual report and annual report mao 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: Walter A. Serfoss
Permittee Name: La Plata County
Address: 1365 S. Camino Del Rio
Durango, CO 81303
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 alb with your written report and map. Annual Report instructions are enclosed.
Signature of
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Date

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