2007-08-08_REPORT - M1977231

• Permit No: M1977231
• IBM Index Class Name: Report
• Doc Date: 8/8/2007
• Doc Name: Annual Fee/Report/Map
• From: First Bentonite Co CO
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
PERMTITEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~ First Bentonite Company Colorado
,/M-1977-231
LBC Bentonite Pit
August 23, 2007
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RE~E-~E~
AIIG 0 ~ 2001
pwision of Rec~amation,
1/ Mlning and Safety
$323.00 (Due on or before your anniversary date)
Fremont
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 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 resort and annual reoort map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, reoort, and associated
map. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to
the previous year's map are necessary, then no new map is required, provided that the Oaerator shall state
this in the Annual Report. 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: Pamela Wedige
Permittee Name: First Bentonite Company Colorado
Address: 215 Teller St.
Salida, CO 81201
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide
below or attach it to this Form along with your written report and map. Annual Report instructions are enclosed.
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Signa^^ture of Corporate` Offic Owner, or Designee
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Date