2005-06-29_REPORT - M1999060

• Permit No: M1999060
• IBM Index Class Name: Report
• Doc Date: 6/29/2005
• Doc Name: Annual Fee/Report/Map
• From: las animas county
• To: dmg
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Las Animas County
M-1999-060
Yocam Pit
June 15, 2005
$281.00 (Due on or before your anniversary date)
Las Animas
RECEIVE®
JUN 2 9 2D~
Division of Minerals and Ceolvgy
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an
_ operator shall submit the annual feeza report and map showing the extent_of current disturbances to affected _
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach y~~r revised written anneal rennrt and anneal re~nrt m T to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Phil Dorenkarnp
Permittee Name: Las Animas County
Address: 2000 N. Linden Ave.
Trinidad, CO 81082
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
Signature /Corporate OfficercOwner, o es ee
Date
M:~PERMIr1MAS7ERDOCIIMENT$U~]-AF-04