2007-11-05_REPORT - M1985165

• Permit No: M1985165
• IBM Index Class Name: Report
• Doc Date: 11/5/2007
• Doc Name: Annual Fee/Report/Map
• From: Harold A Winter
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERM11' NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
P~ ~ Q~~
ANNifAi. FF:F, and RF.PiIRT RF.(lifF.ST
Harold A Winter r~
M-1985-165
Winter Ranch Ptt
November 26, 200.7
REC~I~/~D~
NOV 0 5 2007
Division of Reclamation,
Mining and Safety
~ ~aSAO (Dae on or before yoar anniversary date)
Las Animas
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, 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 yeaz, 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 yeaz, if any.
Pieac_P attachyoar revised written annual regt,rt and annual rennM mn~ to thie form- Please note [hat an
adequately lahe/ed map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Hazold A. Winter
Permittee Name:
Address:
Phone Number:
Fax Number:
Hazold A Winter
20157 CR 75.0
Trinidad, CO 81082
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(7l9) 846-3570 C,~t~:ec. ~'
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if you have additional comments andlor 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.
Si ature of Corporate Officer, Owner, or Designee
Date
please f%Ll~e
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