2010-04-13_REPORT - M2003021

• Permit No: M2003021
• IBM Index Class Name: REPORT
• Doc Date: 4/13/2010
• Doc Name: Annual Fee/Report/Map
• From: Ranch Land LLC
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: BMK
• Media Type: D
• Archive: No

644 k-
12-APR-2010 06:44AM FRO*-D1V RECLAW 10N MINING I SAFETY [phone]
PERmiTTEE NAME:
PERMIT NO.:
OPERATION NAME:
VEST
,4.r1NUAL FEE sttt?d R. PORT REQ
/ nch Land LLC
?I-2003-021
Ranch Land Rock Pit #2
T-5T1 P.003/003 F-526
RECEIVED
kKPR 13 7010
O 1L
ANNIVERSARY DATE: March Z2, 2010 Division of Reclamation,
ANNUAL FEE DUE: %791.00 (Due on or before your anniversary date) 'Mining & Safety
COUN Y: Fremont (/
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 snap 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 attae6 our revked written annual orl and annual Mort ma to this form. The Annual Report
& Fee requirement is not met until we have received the following components• fee, report, and nssociaited
man. If no new disturbances or reclamation have occurred during the reviouv year and no new chap es to
the revi0u4 ear's Ma are necessa the no new n1a LS r aired rovided that the Operator shall state
this in the Annual Re ort- Please note that an adequately labeled map that clearly delineates and includes the
above elements may sufficefor a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: William Peen
Pcrmince Name: Ranch Land LLC
Address: 3925 Kill Circle
Colorado Springs, CO 80904
Phone Number: [phone]
fax Dumber: [phone]
below or attach it co nn l;
£'d ? LL 1-9LZ-6 LL
_ ?, o /,? ?Y 7G SO
lv/d S,OS S /v/b
?og33_
.1.' aIon with your written report and map. Annual Report instructions are enclosed.
Signature if you ohavef additional Corporate officer. comments and/or information that should be provided to the Division, please provide it
Owner, or Designee
llate
polualleg ela6uv eLZ:80 OL ZL Jdy