2006-05-05_REPORT - M1998011

• Permit No: M1998011
• IBM Index Class Name: Report
• Doc Date: 5/5/2006
• Doc Name: Annual Fee/Report/Map
• From: Las Animas County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~,
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
t/' ANNT1Ai. FF.F and RF.Pt1RT RF.OiTF,ST
~~ Las Animas County
M-1998-011
Unwin Gravel Pit
April 1, 2006
RECEI~/ED
-Mar o s zoo
~Dlviaion of Minarat~ pod paaloBY
$281.00 (Due on or before your anniversary date)
Las Animas
<'~1`a'L
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 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 rennet and annnal rennet m ~n to this form. Please note that an
adequately labeled 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: Phil Dorenkamp
Permittee Name: Las Animas County
Address: 2000 N. Linden Ave.
Trinidad, CO 81082
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
Belo r attac it to this form along with your written report and map. Annual Report instructions are
Owner, or Designee
Date
M:IPERMI'I\MASTERDOCUMENTS~M-AF-04