2008-12-03_REPORT - M2001106

• Permit No: M2001106
• IBM Index Class Name: REPORT
• Doc Date: 12/3/2008
• Doc Name: Annual Fee/Report/Map
• From: Huerfano County
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REOUEST C 1\17r)
Huerfano County ,
M-2001-106.
Orlando Pit
December 18, 2008
$323.00 (Due on or before your anniversary date)
Huerfano
.-1 OEC' 0.3 2008
?j/ Division of Reclamation,
? Mining and Safety
?ccording?o C.R.S. 34-32.5-116 or C.R.S. 34-32-1.16, each year. on the_anni_v_er? 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 map 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 vear's map are necessarv, then no new man 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: Bill Brunelli
Permittee Name: Huerfano County
Address: 401 Main St., Ste. 105
Walsenburg, CO 81089
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.
o?
Signatu a of C orate Officer, Owner, or Designee
?I-2-b?
Date
M:\PERMIT\MASTERDOCUMENTS\M-AF-04