2006-08-28_REPORT - M1991146 (2)

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gB6~~P feu t/ ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: ~/ ZMK Mine Construction Ine RECcI` /~D PERMIT NO.: t/ M-1991-146 G. 1/ OPERATION NAME: ZMK Gravel Pit t~00 2 8 2006 ANNNERSARY DATE: August 27, 2006 ~D~VMin ngtand Safety n ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) COUNTY: 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 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 t7ie 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 report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map (All are required regardless of the level of disturbance or absence of disturbance during the previous year). 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: CF.PR.address 1 P.O. Box 85 Ouray, CO 81427 Phone Number: Fax Number: (303) 325-4600 (970)325-4600 (970)325-4b00 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this force along with your written report and map. Annual Report instructions are enclosed. ~ ~ .~---- o0.~s, o ~ Signature of Corporate Officer, Owner, or Designee (a.. ~_S, a L_ Date