2008-12-31_REPORT - M1978314

• Permit No: M1978314
• IBM Index Class Name: REPORT
• Doc Date: 12/31/2008
• Doc Name: Annual Fee/Report/Map
• From: King Mountain Gravel, LLC
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: PSH
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
/ g Mountain Gravel, LLC
Z-1978-314
King Mountain Sand & Gravel Mine
November 22, 2008
$791.00 (Due on or before your anniversary date)
Routt

RECEIVED
"IDEC 312008
-tO Division of Reclamation,
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_tbe_ preceding year,_ne_w_disturbances_that_ are anticipated to_occur_
during the upcoming year, reclamation that will be performed during the comin
of active operations, and the date active operations ceased for the year, if any. g year, the dates for the beginning
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 durin the previous year and no new chap es 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 since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Kirk J. Eberl
Permittee Name: King Mountain Gravel, LLC
Address: 7276 W. Mansfield Ave.
Lakewood, CO 80235
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 is form along with your wr' en report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
Date !T