2006-08-03_REPORT - M1978267

• Permit No: M1978267
• IBM Index Class Name: Report
• Doc Date: 8/3/2006
• Doc Name: Annual Fee/Report/Map
• From: Otero County ‎( Engineering)‎
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

-~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~l ua-
ANNUAL FEE and REPORT REQUEST
OOtero County (Engineering)
~ M-1978-267
Argo Gravel Pit
August 26, 2006
RECE~~~~
~pUG 0 3 2006
q/6ivision of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Otero
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 s~iall submit the annual-fee, a 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 vour revised written annual report and annual reAOrt map 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: Kenneth S. Parker
Permittee Name: Otero County (Engineering)
Address: P.O. Box 511
La Junta, CO 81050
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 of Corporate Officer, Owner, or Designee
.~ G D (o
Date
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I OTERO COUiv ` _ ~ _
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