2006-11-27_REPORT - M1981202SG

• Permit No: M1981202SG
• IBM Index Class Name: Report
• Doc Date: 11/27/2006
• Doc Name: Annual Fee/Report/Map
• From: Flag Resources, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
v' Flag Resources, Inc.
~-1981-202-SG
Silt Pit
November 27, 2006
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"+~wision of Ra~c!amatioq
Mining and Safety
$688.00 (Due on or before your anniversary date)
Garfield
~~~
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 duringthe_ receding 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 vour revised written annual report and annual reuort maa to this form. The Annual Report
& Fee requirement is not met until we have received the following components: Fee, report, and associated
mau. If no new disturbances or reclamation have occurred during the previous vear and no new changes to
the previous year's map are necessary, then no new map is required, provided that the Operator shall state
this in the Annual Report. 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: Fred Frei ~ _
~

Permittee Name: ~ ~
Flag Resources, Inc.
Address: 1412 CR 311
New Castle, CO 81641
Phone Number: [phone]
Fax Number: [phone]
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.
~~ ~~
Signature of Corporate Officer, Owner, or Designee
/~/.~a/ /1 ~,
Date