2007-10-12_REPORT - M1978066

• Permit No: M1978066
• IBM Index Class Name: Report
• Doc Date: 10/12/2007
• Doc Name: Annual Fee/Report/Map
• From: Rio Grande County
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Rio Grande County/~
M-1978-066 /
10 Miles South Pit
October 22, 2007
OCT 12 2007 ~
Division of Reclamatlon
Mining and Safety
$$791.00 (Due on or before your anniversary date)
Rio Grande
- __ According_to C.R,S. 34-32.5-116 or C.R.S. 34_-32-116, each}_ear, 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.
Please attach your revised written annual report and annual report map 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 durinc the arevious vear and no
new chances to the previous year's mau are necessary, then no new mau is required, provided that the
Operator shall state this in the Annual Renort. 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: Patrick Sullivan
Permittee Name:
Address:
Phone Number:
Fax Number:
If you
Rio Grande County
168 N. Washington
Monte Vista, CO 81144
[phone]
[phone]
Tonal comments and/or information that should be provided to the Division, please provide it
it to this form along with your written report and map. Annual Report instructions are
of Corporate Officer, Owner, or Designee
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Date
M:~PERMITNIASTERD000MENTS~M-AF-04