2009-01-16_REPORT - M1980249

• Permit No: M1980249
• IBM Index Class Name: REPORT
• Doc Date: 1/16/2009
• Doc Name: Annual Fee/Report/Map
• From: Charles W. Houchin
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
AN dAfLF] I and REPORT REQUEST
Charles W Houchin
?M-1980-249
Houchin Gravel Pit
February 4, 2009
arc
XP
C F 1jF
,iAN 16 2099
DiViBiOn eI Roalamati®n,
Mining and sn ftty
$$323.00 (Due on or before your anniversary date)
El Paso
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 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 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: Charles Houchin
Permittee Name:
Address:
Charles W Houchin
P.O. Box 162
Green Mountain Falls, CO 80819
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be
below or a ch it to this fo g with your written report and map.
Signature of Corporate Offi er, Owner, or Designee
provided to the Division, please provide it
Annual Report instructions are enclosed.
Date