2010-01-27_REPORT - M1985210 (3)

Home Browse Search

4 AN A FEE andREPORT REQUEST PERMITTEE NAME: Rocky Road Investments PERMIT NO.: kM-1985-210 RECEIVED OPERATION NAME: Rocky Road Quarry I//JAN 2 t 2010 ANNIVERSARY DATE: January 27, 2010 ) ivision of Reclamatlon, ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary d Mining & Safety COUNTY: 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 of current disturbances to affected land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur " ---J- during thi upcoming year reclamation that will'be performed during the com`irig year, -the dates forIhe 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 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: Douglas J. Bachli Permittee Name: Rocky Road Investments Address: P.O. Box 63 . Phone Number: Fax Number Masonville, CO 80541 (970) 203-1072 (970) 669-8836 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. Signa re of orporate Officer, Owner, or Designee Date