2005-07-22_REPORT - M1986165

• Permit No: M1986165
• IBM Index Class Name: Report
• Doc Date: 7/22/2005
• Doc Name: Annual Fee/Report/Map
• From: sandco inc
• To: dmg
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Sandco, Inc.
M-1986-165
Willow Bend
August 27, 2005
JU( 22 ?OQ5
Division of Minerals & Ceglg4t
$281.00 (Due on or before your anniversary date)
La Plata
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
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 ynnr revised written anm~al rennrt and anneal report m ~n fn this form. Please note that an
adequately labeled snap tlrat clearly delineates and includes the above elements iaay suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: David D. Dillon
Permittee Name:
Address:
Sandco, Inc.
P.O. Box 4440
Durango, CO 81301
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.

f Corporatee Offic~, or Designee
7- iy-- os
Date