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2007-12-10_REPORT - M2002087
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2007-12-10_REPORT - M2002087
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Entry Properties
Last modified
8/20/2019 10:16:41 AM
Creation date
12/11/2007 9:28:14 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2002087
IBM Index Class Name
REPORT
Doc Date
12/10/2007
Doc Name
Annual Fee/Report/Map
From
Mask, LLC
To
DRMS
Permit Index Doc Type
Annual Fee/Report
Media Type
D
Archive
No
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~~ <br />,~~ ,~ R P~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE a~nd~yREPORT REQUEST <br />Mask, LLC (/ <br />M-2002-087 V <br />Mask Ranch Gravel Pit <br />November 25, 2007 <br />~~~41~, <br />DEC 1®~~®7 ~ <br />Divisicr~ ors reclamation 1~ <br />~7irti,-rg and 1'afety L/ <br />$$323.00 (Due on or before your anniversary date) <br />Archuleta <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the perniit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />- - - - reclamation accomplishe~~to date and `during "the preceding year,-new disturbances (fiat are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report man to this form The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred durinE the previous year and no new changes to <br />the previous year's map are necessary, then no new map is required provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />-Division- -records indicate the following permittee contact information. Please verify and make any- necessary -__. <br />changes: <br />Permittee Contact: Dennis Walker <br />Permittee Name: Mask,.LLC <br />Address: P.O. Box 5356 <br />Pagosa Springs, CO 81447 <br />Phone Number: (970) 264-4249 <br />Fax Number: <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature. of Corporate Officer, Owner, or Designee <br />Date <br />
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