2009-04-27_REPORT - M2006008

• Permit No: M2006008
• IBM Index Class Name: REPORT
• Doc Date: 4/27/2009
• Doc Name: Annual Fee/Report/Map
• From: Russell Ranch General Partnership
• 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 REQUEST
Russell Ranch General Partnership
M-2006-008
Russell Ranch Pit
April 27, 2009
$323.00 (Due on or before your anniversary date)
Rio Blanco
RECEIVEP;
APR ? 7 Mo 11?
Division of hecWmation, '?/
Mli?g 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 Hermit, 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
_
duringthe upcoming year, neclaina ion-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
man. If no new disturbances or reclamation have occurred during the previous year and no new changes to
the previous year'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: Ben Rogers
Permittee Name: Russell Ranch General Partnership
Address: 1240 Rio Blanco County Road 8
P.O. Box 597
Meeker, CO 81641
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this rm along with your written report and map. Annual Report instructions are enclosed.
Signature of Co orate Officer, Owner, or Designee
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