2007-07-19_REPORT - M1984040

• Permit No: M1984040
• IBM Index Class Name: Report
• Doc Date: 7/19/2007
• Doc Name: Annual Fee/Report/Map
• From: Larry L. Chartier
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

"~ ~~~~~
ANNUA FE~ an REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
lLarry L. Chartier
/M-1984-040
Chartier Pit
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-~JU(1 ~ Z007
~i~jsion of Reclamation
~'I Mining and Safety
July 19, 2007
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$ .00 (Due on or before your anniversary date)
Morgan
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 ftie,~reporLandanap~howing_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 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 associated
ma If no new disturbances or reclamation have occurred durinti the previous vear and no new chanties to
the previous vear's moo are necessarv. 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: Larry L. Chartier
Permittee Name:
Address:
Larry L. Chartier
21305 Road 28.5
Brush, CO 80723
Phone Number: [phone]
Fax Number:
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 of Corp rate Officer, Owner, or Designee
Date