2007-06-11_REPORT - M1982086

• Permit No: M1982086
• IBM Index Class Name: Report
• Doc Date: 6/11/2007
• Doc Name: Annual Fee/Report/Map
• From: Alpine Rock Company
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
/Alpine Rock Company
~1-1982-086
Fairplay Site
June 11, 2007
RECEIVED
'JUN 112007
Division of Redamatid~.
/ Mining arad Salely
$$688.00 (Due on or before your anniversary date)
Park
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
_slrall~ubrnit_.the _annuaLfee~a _report_and_map~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 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, report, and associated
map. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to
the previous year's man 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 since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Pennittee Contact:
Pemuttee Name:
Address:
Phone Number:
Fax Number:
Greg Gerganoff
Alpine Rock Company
14802 W. 44th Ave.
Golden, CO 80403
[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.
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Signature of Corporate Officer, Owner, or Designee
f_ _1-a ~t a7
Date