2006-04-03_REPORT - M1977575

• Permit No: M1977575
• IBM Index Class Name: Report
• Doc Date: 4/3/2006
• Doc Name: Annual Fee/Report/Map
• From: La Plata County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

f

/ V T
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
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
_ _ L_ 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 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 y~~r reviced written annnal renrnrt and annnal report m to this form- Please note that an
adequately labeled rnap 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
Permittee Name: La Plata County
Address: 1060 Main Ave., Ste. 104
changes:
Si wt .tit, ,sus ~~c6lre Gk~//fcs ,l~l n I ~
Permittee Contact: ~'~alterR: Serfess 1' I~24A.e C-e'rt 70.L'f' tildyui,
Durango, CO 81301
Phone Number: (970) 382-637.
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.
ANNiiAT, FF.F, and REPORT RF,OTiF.ST
/ La Plata County
j/M-1977-575
Marvel Pit
April 22, 2006
~~~~1~~~
,~ ~ APR ~ 3 ~DD$
" u~`~aron of Mmerats ®~ (3:0
$281.00 (Due on or before your anniversary date)
La Plata
of
ar Designee
3~9/0~ `~ v
Date
M:IPERMITMASiERDOCUMENTSNr-AF-04