2005-10-28_REPORT - M2000072

• Permit No: M2000072
• IBM Index Class Name: Report
• Doc Date: 10/28/2005
• Doc Name: Annual Fee/Report/Map
• From: Lindsey Canyon LLC
• To: DMG
• Media Type: D
• Archive: No

ANNTiAi. FF.F. and RF.PnRT RF.tiTiF.ST
C~~
~ Lindsey Canyon, LLC
vl~i-zooo-o72
l~=fir
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Lindsey Canyon LLC
October 29, 2005
RECEIVEC
~CT 2.8 20~
Division of Mineraia ai..l Eizolo&g
$281.00 (Due on or before your anniversary date)
Montrose
sss
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 ynnr revised written annual rennrt and anm~al re~nrt man to this form. 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: Gary W. Cooper
Permittee Name: Lindsey Canyon, LLC
Address: 11554 64.50 Road
Montrose, CO 81401
Phone Number: [phone]
Fax Number:
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.
!/`' /
ature o orporate O face • caner, or Designee
-~7-'~~
Date