2006-02-23_REPORT - M1977256

• Permit No: M1977256
• IBM Index Class Name: Report
• Doc Date: 2/23/2006
• Doc Name: Annual Fee/Report/Map
• From: Grand County
• 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:
Graud County
M-1977-256
Benson Pit
March 23, 2006 '
RECEIVED
FEB 2 3 2006
Hisisipn pf Minerals and Ceolopy
$688.00 (Due on or before your anniversary date)
Grand
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, new disturbances that are anticipated to
-occur during the upcoming year, reclamation that wiil 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 ynnr revised written anm~al repprt and anm~al re,Pnrt ma,p to his form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Ken Haynes
Permittee Name: Grand County
Address: 467 E. Topaz Ave.
P.O. Box 9
Phone Number:
Fax Number:
Granby, CO 80446
[phone]
[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.
i
Signature of Co orate Officer, Owner, or Designee
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Date
M:~PERMI7IMASTERDOCUMEMSN.I-AF-04