REP36481

• Permit No: M1982086
• IBM Index Class Name: Report
• Doc Date: 5/28/2002
• Doc Name: 2002 Annual Report
• From: Alpine Rock Company
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNPJERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Alpine Rock Company
M-1982-086
Fafrplay Site
June 11, 2002
~'~7_
RECENED
MAY 2 8 2U02
Division of Mina~als and Geology
$688.00 (Due on or before your anniversary date)
Park
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_ o~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 annual report and annual report map to this form. 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: da nt~g.R-I ef7~e~-
Permittee Name: Alpine Rock Company
Address: 14802 W. 44th Ave.
Golden, CO 80403
Phone Number: [phone] -~' ~/~' 3
Fax Number: [phone]
G 6L~ G ~~ t,•ra Ff
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 aze enclosed.
.G<'/~
ature of Corporate Officer or Owner
~~6-oz
Date
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