2009-09-16_REPORT - M2006059 - Laserfiche WebLink

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ANNUAL FEE and REPORT REOUEST PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: Continental Divide Ranch, LLC M-2006-059 CDR Pit October 13, 2009 $323.00 (Due on or before your anniversary date) Archuleta 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 vour revised written annual report and annual report may to this form The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated may. If no new disturbances or reclamation have occurred during the previous -year and no new chances to the previous year's map are necessary, then no new map is required, provided that the Oyerator 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: Ron Trujillo Permittee Name: Continental Divide Ranch, LLC Address: 736 Main Dr. Durango, CO 81301 Phone Number: (970) 382-2525 Fax Number: (970) 382-0630 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 Date