2006-05-25_REPORT - M1984044

• Permit No: M1984044
• IBM Index Class Name: Report
• Doc Date: 5/25/2006
• Doc Name: Annual Fee/Report/Map
• From: Saguache County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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~l/ ANNilAi, FF.F, and RF.PnRT RF,niTF.ST
PERMITTEE NAME:
PERMIT NO.:
OPEBATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
aguache County
~M-1984-044
San Isabel Pit
RECEi~/Ep
~ MAY ?510D6
ivisian of Minerals and daplppy
June 11, 2006 '
$688.00 (Due on or before your anniversary date)
Saguache
According to C.R.S. 34-32.5-it6 or C.R,S. 34-32-116, each year, on the anniversary date of the permii, ari
operator shall submit. the annual fee, a report and map showing the extent. of.current disturbances.lo_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 ~nnr rPVised written annnal red nrt and anm~al report m~ to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffzce for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Randal H. Arredoudo
Permittee Name: Saguache County
Address: ~P:6:-Box-6SS- ~l a (3 e k ~ ~ ` `~
Saguache, CO 81149
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 Corporat Officer, Owner, or Designee
-~3-
Date
M:~PERMITNIASTERDOCUMENTSUI-AF-04