2010-04-19_REPORT - M2005050

• Permit No: M2005050
• IBM Index Class Name: REPORT
• Doc Date: 4/19/2010
• Doc Name: Annual Fee/Report/Map
• From: Rimrock Exploration & Development, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

A' r- a- ?- P?
ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
C/P
t Rimrock Exploration & Development, Inc.
M-2005-050
J Birds
April 19, 2010
av?'
v1 APR 1 ? 2010
A0 Division of Reclamation,
L Mining & Safety
$259.00 (Due on or before your anniversary date)
Montrose
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
erator_shali submit the annual fee, -a report-.and_manwintl?e tent of current disturbances to affected___
-.op
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 map 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 durine the previous year and no
new chances to the previous year's map are necessary, then no new man 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: Allan Chiles
la c 4 k
Permittee Name: Rimrock Exploration & Development, Inc.
Address: P.O. Box 430
Nucla, CO 81424
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.
- 4 "1 'Ke ? ? CX?
Signature of Corporate Officer, Owner, or Designee
Date i
M:IPERMIT\MASTERDOCUMENTS/M-AF-02.DOC