2011-03-03_REPORT - M1992074

• Permit No: M1992074
• IBM Index Class Name: REPORT
• Doc Date: 3/3/2011
• Doc Name: Annual Report
• From: City of Colorado Springs
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: BMK
• Media Type: D
• Archive: No

&41- ,

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE an PORT UEST
of Colorado Springs
11992-074
Clear Spring Ranch Pit
March 12, 2011
RECEIVED
k6 03 2011
Division of Rlam*ation,
iZ2 $$791.00 (Due on or before your anniversary date)

El Paso
Accordiniz. to C.R.S. 34-32.5-116 or C.RS. 34-32=116,_each-y_ear,-on_the anni_v_ersany 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 chanzes to the previous year's map are necessary, then no new map 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: Patti Zietlow
Permittee Name: City of Colorado Springs
Address: P.O. Box 1103
Mail Code 940
Colorado Springs, CO 80947
Phone Number: [phone]
Fax Number: [phone]
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. _ --17 _
Officer, Uwner, or i)esignee
Date ' '
M:IPERMTT\MASTERDOCUMENTSUM-AF-04