2008-05-19_REPORT - M1979206

• Permit No: M1979206
• IBM Index Class Name: REPORT
• Doc Date: 5/19/2008
• Doc Name: Annual Fee/Report/Map
• From: US Soil Conditioning
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

Ff R?
EE and REP TRTEQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
,U S Soil Conditioning Company
M-1979-206
Maverick Placer
June 16, 2008
$$791.00 (Due on or before your anniversary date)
Fremont
0
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-MAY 19 2008
_f)Msion G-i kedamation,
Mining and Safety
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,
reclamation- accomplished-to date and during-the-preceding-year,-new-disturbances-that-are-anticipated-to-uccur
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 durin the previous year and no new chanEes to
the previous vear's may 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: Joseph E. Lionelle
Permittee Name: U S Soil Conditioning Company
Address: P.O. Box 926
Salida, CO 81201
Phone Number: [phone]
Fax Number:
If you have additi al comments and/or information that should be provided to the Division, please provide it
below or attach ' to Vs form along with your written report and map. Annual Report instructions are enclosed.
Si ature of Corporate Officer, Owner, or Designee
M&V
Date