2006-03-09_REPORT - M1994006

• Permit No: M1994006
• IBM Index Class Name: Report
• Doc Date: 3/9/2006
• Doc Name: Annual Fee/Report/Map
• From: Leone Sand and Gravel LLC
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNiiAi. FF.F, and RF.PnRT RF.nilEST
Leone Sand and Gravel LLC
;~M-1994-006
Emerald Vista Estate
March 11, 2006
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$281.00 (Due on or before your anniversary date)
Las Animas
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,
- _ _.Pal.,....,r:....-an.-.......F:~.~m.i-:...-,a...b-a-ri-.1...-:....-lF.n-..~.~.....7 :.............-..o...-.7:H..«L.......-0~.-41~..5-.,.w-.....f.n;,...Yed-.s..-~.n.....
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.
~jpase attach your revised written annual reFnrt and anneal refit man to this form. 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: Frank L. Leone Jr
~~~
Permittee Name: Leone Sand and Gravel LLC
Address: 502 S. Walnut Street
Trinidad, CO 81082
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.
Signature of Corporate Officer, e , or Designee
3/8/ob
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