2006-06-06_REPORT - M1984094 - Laserfiche WebLink

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re,d-ux f~ v~ e~.Q ~~' PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNNERSARY DATE: ANNUAL FEE DUE: COUNTY: Sanborn Sand and Gravel M-1984-094 Gloria Z Mine July 17, 2006 ~E~EIVED JUN 0 6 2006 Division of Minerals anJ Geology $688.00 (Due on or before your anniversary date) Park According to C:R:S:-344:5=1-I6-orC:R:S-34-32=-i'1'6-eachyear,-on'the anniversary dafe`of fhe permif, ari oper9tor 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 ymrr revised written anneal report and annual report my~ to this form. The Annual Report & Fee requirement is not met until we have received the following 3 components: feefee_ r~nnrt, and associated ~R (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 pennittee contact information. Please verify and make any necessary changes: Permittee Contact: Micheal Pfistev Permittee Name: Sanborn Sand and Gravel Address: P.O. Box 1180 -- Alma, CO 80420 __ Phone Number: (970) 389-7056 Fax Number: (719) 836-0849 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. Signatwe of Corporate Officer, Owner, or Designee Date