2006-12-07_REPORT - M1985082

• Permit No: M1985082
• IBM Index Class Name: Report
• Doc Date: 12/7/2006
• Doc Name: Annual Fee/Report/Map
• From: Pioneer Sand Company, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~oneer Sand Company, Inc.
d /
M-1985-082
Rock Pit Mine
December 30, 2006
$$281.00 (Due on or before your anniversary date)
Moffat
`~ ~
~z ° °~
RECEIVED
~. DECD 7 2006
~ivision cl Reclantarygt.
Mining and Sala!),
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,
_ssclamation accomplished. to date and-during the preceding-year,_rsevu=disturbances;that are annc~pated to occur
during the upcoming yeaz, 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 Repots
& 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 veer and no new chances to
the previous year's map are necessary, then no new map is reouired, provided that the Operator shall state
this in the Annual Repots. 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: Joe Kraig
Permittee Name: Pioneer Sand Company, Inc.
Address: P.O. Box 7650
Colorado Springs, CO 80933
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide
below or attach it to this form along with your written report and map. Annual Report instructions aze enclosed.
t~ ~a ~vi,~nuG tt9cr,.,ry ~S /°/~.STy~i'S'-re
Signp re oepor e 9'~ficer, Owner, or Designee
~ rays/~
Date