2006-01-24_REPORT - M1992100

• Permit No: M1992100
• IBM Index Class Name: Report
• Doc Date: 1/24/2006
• Doc Name: Annual Fee/Report/Map
• From: River Bottom Land Corporation
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE
ANNUAL FEE DUE:
COUNTY:
River Bottom Land Corporation
M-1992-100
River Bottom Land Gravel
February 5, 2006
$281.00 (Due on or before your anniversary date)
Delta
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-a*tent ~P-~~~~.~~~~--~^t-~;o~.,ro'-..,.w~~o-,.ffe-sted-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 your revised written anneal rrnnrt and anneal rennrf main 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: Patricia Farnsworth
Permittee Name: River Bottom Land Corporation
Address: 175 Hwy. 133
Paonia, CO 81428
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 enclosed.
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Signature of Cot oral 'O ficer, Owner, or Designee
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Date