2009-09-16_REPORT - M1977002HR

• Permit No: M1977002HR
• IBM Index Class Name: REPORT
• Doc Date: 9/16/2009
• Doc Name: Annual Fee/Report/Map
• From: Colorado Lien Company
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: MAC
• Media Type: D
• Archive: No

-? i
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:

AN A FEE and RT REQUEST
4?? orado Lien Company
1977-002-HR
Munroe Gypsum Quarry
September 16, 2009
RECEIVED
S P u 2009
Division of Reclamation,
Mining and Safety
$$791.00 (Due on or before your anniversary date)
Larimer
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 ofcurrent" 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 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:
Permittee Name:
Address:
Scott Landguth
DW W IF15GZ?-:>
Colorado Lien Company
P.O. Box 440
Rapid City, SD 57709
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 form along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
0/141ID-9
Date