2006-06-28_REPORT - M1999060

• Permit No: M1999060
• IBM Index Class Name: Report
• Doc Date: 6/28/2006
• Doc Name: Annual Fee/Report/Map
• From: Las Animas County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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ANNiTAi. FF,F and RF.PnRT RF.OiTF.ST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
v~ /Las Animas County
v M-1999-060
Yocam Pit
June 15, 2006
REG°~:1~/ED
~lUN 28 eons
(/Division at Minerals end Gedppl,
$281.00 (Due on or before your anniversary date)
Las Animas
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, reclama6on_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 your revised written anm~al re~nrt and annual rennrt map to this form. 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: Phil Dorenkamp
Permittee Name: Las Animas County
Address: 2000 N. Linden Ave.
Trinidad, CO 81082
Phone Number: (7I9) 846=2931- -- -
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. Annua] Report instructions are
enclosed.
afore of rp rate f er, Owner, or Designee
Date
M:IPERMITNIASTERDOCUMEMSNr-AF-04