2007-11-09_REPORT - M1981154

• Permit No: M1981154
• IBM Index Class Name: Report
• Doc Date: 11/9/2007
• Doc Name: Annual Fee/Report/Map
• From: San Miguel County
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
San Miguel County
M-1981-154 /
Norwood Pit
RECEIVED
NOV 09 2UU7 /
Division of Reclamation, . Y
Mining and Safety I/
November 20, 2007
$$791.00 (Due on or before your anniversary date)
San Miguel
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 and map showing the extent of current disturbances to affected
land, reclamation accomplished.to date and during the_preceding year, new d_ isturbances 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 map. If no new disturbances or reclamation have occurred durinc the previous vear and no
new chances to the previous year's map 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 thaP clearly
delineates and includes the above elements may sincefor a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Mike Horner
Permittee Name: San Miguel County
Address: P.O. Box 426
Norwood, CO 81423
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments andfor 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.
,~r~~'~
Signature of Corporate Officer, Owner, or Designee
/o//Gl 7
Date ~~'
M:~PERMITNfASTERDOCUMENTSNI-AF-04