2003-06-30_REPORT - M1984036

• Permit No: M1984036
• IBM Index Class Name: Report
• Doc Date: 6/30/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~~ -
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:

RECEIVED
Varra Companies, Inc.
M-1984-036
Dakolios Pit No. 1
June 1, 2003
JUN 3 0 ~:~3
Uirisloa of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Weld
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 current disturbances to affected land,
reclamation accomplished to date and during ifie preceding year, new dis~ur~es that are anYictpated 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 [he year, if any.
Please attach ynnr revised written annnal reRnrt and annnal report m ~n to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since jor a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Christopher L. Varra
Permittee Name: Varra Companies, Inc.
Address: 8120 Gage St.
-~F;ri~~-8(~5-1b-943A--
Phone Number: [phone]
ax um er: --f31}3~CCi6~743-=
Frederick, CO 80516
- --- [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 enclosed.
Signa a of Corporate Officer, Owner, or Designee
1 June 2003
Date
M:~PERMITMASTERDOCUMENTSU-I-AF-01