2010-10-12_REPORT - M2000072 - Laserfiche WebLink

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6? O ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: Lindsey Canyon, LLC PERMIT NO.: / M-2000-072 OPERATION NAME: Lindsey Canyon LLC ANNIVERSARY DATE: October 29, 2010 ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) COUNTY: Montrose RECEIVED OCT 12 2010 Division of Mining & $ ate' eEy 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,- s-&at-me- nnc.'p e o -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 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 chances to the previous year's map are necessary, then no new may 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: Gary W. Cooper Permittee Name: Lindsey Canyon, LLC Address: 11554 64.50 Road Montrose, CO 81401 Phone Number: (970) 249-8348 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. ature o orporate O icer, wner, or Designee go gole) T Date