2005-06-29_REPORT - M2001015

• Permit No: M2001015
• IBM Index Class Name: Report
• Doc Date: 6/29/2005
• Doc Name: Annual Fee/Report/Map
• From: las animas county
• To: dmg
• Media Type: D
• Archive: No

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JUN 2 9 20~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Las Animas County
M-2001-015
Sandoval Land and Cattle Pit
May 17, 2005
Olvislon of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Las Animas
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_currentdistwbances to affected _ , _ _
- - -land; ieolamafion`accotnplished Yo 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 ynnr revised written anneal rennrt and anmial re,Pnrf main to this fnrm_ 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: Phil Dorenkamp
Permittee Name: Las Animas County
Address: 2000 N. Linden Ave.
Trinidad, CO 81082
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
Date
M:~PERMI'MIASTERDOCUMENTSN7-AE-04