REP40667

• Permit No: M1984036
• IBM Index Class Name: Report
• Doc Date: 6/25/2002
• Doc Name: 2002 Annual Report
• From: Varra Companies Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
RECE[V~D
Longmont, CO 80504
PERMTI"I'EE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
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 anrmal 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 [hat will be performed during the coming year, [he 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. Please note that an
adegaately labeled map that clearly delineates and includes the above elements may suffece for a written report.
Division records indicate the following perrnittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Christopher L. Varra
Permittee Name: Varra Companies, Inc.
Address: 129]0 WCR 13
Phone Number: [phone]
Fax Number: [phone]
JUN 2 5 2002
Division of Minerals and Geology
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.
~~~ ~
Signa re of Corporate Officer or Owner
3 June 2002
Date
Varra Companies, Inc.
M-1984-036
Dakolios Pit No. 1
June 1, 2002
$688.00 (Due on or before your anniversary date)
Weld
M:~PERMTTNIASTERD000MENTSUI-AF-O7