2005-12-30_REPORT - M1982155

• Permit No: M1982155
• IBM Index Class Name: Report
• Doc Date: 12/30/2005
• Doc Name: Annual Fee/Report/Map
• From: Schmidt Construction Company
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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RECEti/ED
DEC ~ 0 2005
PERMITTEE NAME:
PERMTT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Schmidt Construction Company
M-1982-155
Fountain Pit
December 31, 2005
$688.00 (Due on or before your anniversary date)
EI Paso
Division of M:='•erals and Geology
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,~si~ rrit the annual feP a rgnort and mau showing_the extent of~,ttrrent disturlances 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 ynnr revised written annnal rennrt and annual re nn rf 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: Scott Davis
Permittee Name: Schmidt Construction Company
Address: 2635 Delta Dr.
Colorado Springs , CO 80910
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.
' V U
Signature of Corporate Officer, Owner, or Designee
Date