2007-06-14_REPORT - M2000073

• Permit No: M2000073
• IBM Index Class Name: Report
• Doc Date: 6/14/2007
• Doc Name: Annual Fee/Report/Map
• From: Rio Blanco County
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~F~RPi
A AL F~E and REPORT REQUEST
PERMTI'TEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Rio Blanco County
~M-2000-073
Shults Gravel Pit
June 27, 2007
J~
RECEIVED
~IJUN 14 2007
Divi on of Reclamation,
fining and Safety
$$281.00 (Due on or before your anniversary date)
Rio Blanco
__,_ _ _-Accordi~to C.R.S. 34-32.5116 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 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, report, and
associated mau. If no new disturbances or reclamation have occurred durinc the previous year and no
new chances to the previous year's mau are necessary, then no new map is required, urovided that the
Operator 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: David Morlan
Permittee Name: Rio Blanco County
Address: 570 2nd St.
Phone Number:
Fax Number:
Meeker, CO 81641
[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.
' 0~~._._
afore of Corporat fficer, Owner, or Designee
m/5/o7
Date
M:~PERMIT4MASTERD000MENTS~M-AF-04