2006-04-12_REPORT - M1984028

• Permit No: M1984028
• IBM Index Class Name: Report
• Doc Date: 4/12/2006
• Doc Name: Annual Fee/Report/Map
• From: Dave Direzza
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
y Dave Direzza
y M-1984-028
Direzza Pit
May 1, 2006
$281.00 (Due on or before your anniversary date)
Bent
~t~CEtV~D
~ APR 1~2 2U06
/ pirisioa of Minerals end OeolopY
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
sh..n-~„-..°ra..l_ - _ apchnwing_the~xtent_n~currenLdisturhances~o~ffected.landY_
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 attachTnnr revised written anneal report and anneal re nn rt 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: Dolores DiRezza
Permittee Name: Dave Direzza
Address: 4815 Hwy 194
La Animas, CO 81054-9411
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
Dat~