2010-07-16_REPORT - M2009038

• Permit No: M2009038
• IBM Index Class Name: REPORT
• Doc Date: 7/16/2010
• Doc Name: Annual Fee/Report/Map
• From: Urie Rock Company
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT RE UEST
IFU_
Urie Rock Company
L" M-2009-038
Urie Gravel Pit
August 21, 2010
$791.00 (Due on or before your anniversary date)
Rio Blanco
? JUL 16 2010
?/ DK*ion ct ?:eci +n ion,
`:/ mining and Safety
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 your 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
map. If no new disturbances or reclamation have occurred during the previous year and no new changes to
the previous vear's man are necessarv, then no new man is reauired, 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 since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
chances:
Permittee Contact:
Permittee Name:
Ste RU rie -
Urie Rock Company
Address: 2424 East Main Street
Rangely, CO 81648
Phone Number: [phone]
Fax Number:
Q70- UK- 2013
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 y6?th your written report and map. Annual Report instructions are enclosed.
i - ii iii -
Corporate Officer/Owner, or Designee
f v
6;?O'/o
Date