2009-05-21_REPORT - M1977071

• Permit No: M1977071
• IBM Index Class Name: REPORT
• Doc Date: 5/21/2009
• Doc Name: Annual Fee/Report/Map
• From: Lake County
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

'q_' 4- R eT
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE. and REPORT REQUEST
Lake County tl
M-1977-071
Half Moon Pit
CIEMAY 21 2009
Division of Rec:2matiop,
Mining and Safety
May 25, 2009
$791.00 (Due on or before your anniversary date)
Lake
,_,-_..._According_to Ca-v.-3_432-5=L1.6_.or_C.R.S..34-32=1-16,_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 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: Brad Palmer
Permittee Name: Lake County
Address: P.O. Box 952
Leadville, CO 80461
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that sho Id be provided to the Division, please provide it
below or attagh-?t to this form along with your en report and map. Annual Report instructions are
ignature of
, Owner, or Designee
Date
M: PERMITIMASTERDOCUMENTS\M-AF-04