2006-12-14_REPORT - M1981132

• Permit No: M1981132
• IBM Index Class Name: Report
• Doc Date: 12/14/2006
• Doc Name: Annual Fee/Report/Map
• From: Valco Lamar Concrete Division
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~/ ANNUAL FEE and REPORT REQUEST
v /Nalco Lamar Concrete Division
V M-1981-132
Lamar West Pit
November 5, 2006
RECEIVED
DEC 14 2006
/ pivision of Reclamation,
Mining and Safety
$$688.00 (Due on or before your anniversary date)
Prowers
i2 5
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 the preceding year, new disturbances that aze 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 vour revised written annual report and annual report map to this form. The Annual
Report & Fee requirement is not met until we have received the following components: fee, report, and
associa_ted_map. If no new disturbances or reclamation have occurred durinti the previous vear and no
new chanties to the previous year's map are necessary, then no new map 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 suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Herb K. Pearson
Permittee Name: Nalco Lamaz Concrete Division
Address: P.O. Box 59]
Phone Number:
Fax Number:
Lamar. CO 81052
[phone]
[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.
'x.10 YtQyJ d~s-~~'-~o~~s or reclan.ia l-.on
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Signature of Corporate Officer or Owner
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Date