2006-10-12_REPORT - M1982033

• Permit No: M1982033
• IBM Index Class Name: Report
• Doc Date: 10/12/2006
• Doc Name: Annual Fee/Report/Map
• From: Malouff Construction Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO,:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
i/ Malouff Construction Inc.
1/ M~1982-033
Malouff Pit
October 8, 2006
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RECEfVED
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~47ivision of R
Ming ixld
$688.00 (Due on or before your anniversary date)
Conejos
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, 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 disturbances that are anticipated to occur
3unng a upcoming year, rec ama ion na wi a per orme unng t e coming year, t e ales or t e egmmng
of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual report mau to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred durinti the previous vear and no new chanties to
the previous year's map are necessary, then no new moo is required, provided that the Operator shall state
this in the Annual Report. Please note that an adequately labeled map that clearly delineates and inc/udes 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: Stephen louff
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Permittee Name:
Malouff Construction Inc. T w,~
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Address: 6496 Malouff Rd.
Alamosa, CO 81101 _
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 atta i to this form along with our written report and map. Annual Report instructions are enclosed.
igna re of oepor to O icer, er, or Designee
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