2006-06-30_REPORT - M1987171

• Permit No: M1987171
• IBM Index Class Name: Report
• Doc Date: 6/30/2006
• Doc Name: Annual Fee/Report/Map
• From: Kiewit Western Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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(i~ ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
I/ HIewit Western Co.
~M-1987-171
Fountain Colony Pit
May 9, 2006
RECEIVED
v JUN 3 0 2006
,~ Division ~f Minerals and Geology
$688.00 (Due on or before your anniversary date)
EI Paso
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,`g report and map showing the extent of current disturbances to affected
]and, reclamatiosaccomplished to'date`and-during the preceding year, new disturbances that aze anticipateddto
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 resort and annual report map 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: Tony Collins
Permittee Name: Kiewit Western Co.
Address: 7926 S. Platte Canyon Rd.
Littleton, CO 80128
Phone Number: [phone]
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 our writt report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer or Owner
~- ~9- o~
Date