2010-08-18_REPORT - M1977184

• Permit No: M1977184
• IBM Index Class Name: REPORT
• Doc Date: 8/18/2010
• Doc Name: Annual Fee/Report/Map
• From: City of Fort Collins
• 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:
r
AL FEE nd ZRTRW- VEST
?ci of Fort Collins
977-184
Timberline Pit
August 15, 2010
$$791.00 (Due on or before your anniversary date)
Larimer
CyElvr
Division Q
mining 404
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.
Permittee Contact: Daylan Figgs
Permittee Name: City of Fort Collins
Address: P.O. Box 580
Fort Collins, CO 80522
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.
Si ature o Co NATURAk RESOURCES DEPAftTMgNT
7:?: gn rporate O r, er, or Designee t r-, - j i G7 ,
gif?-L
Date
M'1PERM1r MASTERDOCUMENTSW-AF-04