2008-03-03_REPORT - M1978268

• Permit No: M1978268
• IBM Index Class Name: REPORT
• Doc Date: 3/3/2008
• Doc Name: Annual Fee/Report/Map
• From: Ouray County
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

//~~ ~ (J~
ANNU~I~` E al nd SPORT RE VEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
'buray County
~I-1978-268
Dallas Gravel Pit
March 22, 2008
$$791.00 (Due on or before your anniversary date)
Ouray
~~C~IVE~

P1A~ 0 3 2008
Di~/ision of Keclamation,
Mining and Safety
According_ to C.R.S. 3.4-32.5-11.6 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 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 your revised written annual report and annual report man 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 during the previous year and no
new changes 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 that clearly
delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Chris Miller
Permittee Name: Ouray County
Address: P.O. Box 456
Ridgway, CO 81432
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.
l --
ignature of Corporate Officer, Owner, or Designee
~''/I~ C78
Date
M: ~PERMIIIMASTERDOCUMENTSU~I-AF-04