2007-08-03_REPORT - M1999006

• Permit No: M1999006
• IBM Index Class Name: Report
• Doc Date: 8/3/2007
• Doc Name: Annual Fee/Report/Map
• From: Sand Land, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

AN~AL~FE arSd REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COI-TNT'Y:
Sand Land, Inc.
/i II-1999-006
Kurtz Resource Recovery & Land Devlpmnt Proj
August 4, 2007
$791.00 (Due on or before your anniversary date)
Weld
D~
G D~'10p7
Division of
~tGlinin9 antl Safe tiotl
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 attd 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 your 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, resort, and associated
map. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to
the previous year's moo are necessary, then no new moo 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: Christopher L. Varna
Permittee Name:
Address:
Sand Land, Inc.
8120 Gage St.
Frederick, CO 80516
Phone Number: [phone]
Fax Number: (3) 666-6743
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to/t~his fo~long with your written report and map. Annual Report instructions are enclosed.
Si of Corporate OfScer, Owner, or Designee
b'-2 -©~
Date