2007-02-26_REPORT - M1993059

• Permit No: M1993059
• IBM Index Class Name: Report
• Doc Date: 2/26/2007
• Doc Name: Annual Fee/Report/Map
• From: Midwestern Farms Resource
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~~ ~ / 'I
ANNUAL FEE and REPORT REQUEST
Midwestern Farms Resource
~I-1993-059
Midwestern Farms
March 4, 2007
ctFCE1VED
,FEB 7.6 2007
Uwision or rceuei ~ ~m~~~ ~,
fining and Safety
$$688.00 (Due on or before your anniversary date}
Prowers
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
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 resort map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, resort, and associated
map. If no new disturbances or reclamation have occurred during the previous year 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 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: Ronda Neumeister
Permittee Name: Midwestern Farms Resource
Address: P.O. Box 580
Rye, CO 81069
Phone Number:
Fax Number:
If
[phone]
[phone]
iitional~8htments and/or information that should be provided to the Division, please provide it
it to t}ris farm along with your written report and map, Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
~~a3~o7
Date