2010-04-19_REPORT - M2006009 - Laserfiche WebLink

Home Browse Search

!ANNUAL FEE and REPORT REOUEST PERMITTEE NAME: Mesa Sandstone, LLC PERMIT NO.: M-2006-009 OPERATION NAME: Hindmarsh Sandstone ANNIVERSARY DATE: April 28, 2010 RECE? v"' APR 14) 2010 ®iviolon of Reclamation, Mining & Safety ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) COUNTY: Montezuma 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- accomplishe.&to-date and- during-the-preceding--year, new-distur-bances-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??iro met until ave received the following components: fee, report, and associated maps nd a ?ces or reclaibh.haveogcurred during the previous year and no new changes to -- this in the Annual Report. Please note`thY'ctt't adequacy 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: William K. Goode Permittee Name: Mesa Sandstone, LLC Address: P.O. Box 220 Phone Number: Fax Number: Cortez, CO 813' (970) 565-1167 (970) 565-1167 V 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. a Signature of Co orate Officer, Owner, or Designee Date