2006-01-25_REPORT - M1980027

• Permit No: M1980027
• IBM Index Class Name: Report
• Doc Date: 1/25/2006
• Doc Name: Annual Fee/Report/Map
• From: Bumgardner Ranches Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Bumgardner Ranches, Inc.
M-1980-027
Bumgardner Ranches Gravel Pit
February 2,2006
cb,~
RECEIVED
JAN 2 5 2006
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Grand
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
-sha}}-submit-the-am:ual-fee,-a-report-and-map-ahowing-the-extent o:~ca::ent-disturbances-to-af£eted-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 ym~r revised written anmral rennrt and anneal report map 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: Gary Bumgarner
Permittee Name: Bumgardner Ranches, Inc.
Address: P. O. Box 186
I{remmling, CO 80459
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 aze enclosed.
z Jv
Sign e of Corp e Officer, Owner, or Designee
jA O~
~e ~