2006-10-12_REPORT - M1987074 - Laserfiche WebLink

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i~-~ ~,~ •~ s PERMPI'TEE NAME: v Mayne Industries, Inc PERMIT NO.: ~ M-1987-074 OPERATION NAME: ~Dotsero Quarry ANNNERSARY DATE: October 9, 2006 ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) COUNTY: Eagle RECEIVE® ~nr1 a ~ 9nng v Division of Reclameuon, 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 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 year, if any. Please attach vour revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, resort, and associated ma If no new disturbances or reclamation have occurred during the arevious vear and no new chanties to the urevious year's map are necessary. then no new map is required, provided that the Ouerator shall state this in the Annual Resort. 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: Gerry A. Mayne Permittee Name: Mayne Industries, Inc Address: P.O. Box 1689 -Gypsum; CO 81637 Phone Number: (970) 524-7733 Fax Number: 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. Mnual Report instructions are enclosed. of t~6}~p6rate Officer, Owner,~6r Designee