2003-08-27_REPORT - M1991146

• Permit No: M1991146
• IBM Index Class Name: Report
• Doc Date: 8/27/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
J
ZMK Mine Construction Inc
RECEIVED
M-1991-146 AUG 2 ~ 2003
ZMK Gravel Pit
pivision ~f Minerals and Geolo9V
August 27, 2003
$281.00 (Due on or before your anniversary date)
Ouray
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 s}iowing the extent of current disturbances to atiected 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 rennrt and annual report m ~n to this 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: Robert A. Larson
Permittee Name: ZMK Mine Construction Inc
Address: 342 7th Ave.
P.O. Box 85
Ouray, CO 81427
-..~-hone-Number:-E303)-325-4600-_ -
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 ficer, Owner, or Designee
~f Lz- ~ ~ 3
Date
M:V'ERMITUTASTERDOCUMENTSU1-AF-01