2006-11-07_REPORT - M2000118

• Permit No: M2000118
• IBM Index Class Name: Report
• Doc Date: 11/7/2006
• Doc Name: Annual Fee/Report/Map
• From: APC Southern Construction Co., LLC
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~ ANNUAL FEE and REPORT REQUEST
'~ APC Southern Construction Co., LLC.
~M-2000-118
Pino Pit
November 15, 2006
RECEl1/ED
~/,,'~.~NOV 0 7 2006
"'r~sion of Reclamation,
Mining and Safety
$688.00 (Due on or before your anniversary date)
13uerfano
M67'L

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 6e p"erfortned dunng tfie coming year,~t)te d"afes for the liegimm~g
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual reuort map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
maa. If no new disturbances or reclamation have occurred during the previous year and no new chanties 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 since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Richard Pounds
Pennittee Name: APC Southern Construction Co., LLC.
Address: 14802
W. 44th Ave.
Golden, CO 80403
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 your written report and map. Annual Report instructions are enclosed.
~~~
Signature of Corporate Officer, Owner, or Designee
1t (fa /a
Date