2007-07-09_REPORT - M1997011

• Permit No: M1997011
• IBM Index Class Name: Report
• Doc Date: 7/9/2007
• Doc Name: Annual Fee/Report/Map
• From: Bacalite Mesa LLC
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~~ ~ ~ Pi
ANNUAL FEE and REPORT REQUEST
Baculite Mesa LLC
„/11~I-1997-011
Bacplite Mesa Pit
July 9, 2007
$$688.00 (Due on or before your anniversary date)
Pueblo

REC~fVE®
JUL 0 9 2001
(vision of Reclamation,
Mining and Safety
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
---shatt'sabmtr[he-annual-f~e~report and-map' showing the extent of current-disturbances fo affected-lands
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 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. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
ma . If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to
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: Fred J. Orr
Permittee Name: Baculite Mesa LLC
Address: 5040 Acoma
Phone Number:
Fax Number:
Denver. CO 80216-2010
[phone]
[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.
Signatu of Corpora Officer, Owner, or Designee
~~7
Date