2007-11-29_REPORT - M1999024

• Permit No: M1999024
• IBM Index Class Name: REPORT
• Doc Date: 11/29/2007
• Doc Name: Annual report
• From: Costilla County
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY /
Department of Natural Resources ~/
1313 Sherman St., Room 21 s
Denver, Colorado 80203 ANNUAL FEE and REPORT REQUEST
Phone: [phone]
FAX: [phone]
PERMITTEE NAME:
~ostilla County

PERMIT NO.: ~ ~~ ~ ~ ~ f
~a __
-1999-024
OPERATION NAME: San Acacio Gravel Pit ~®~ 2 9 2®07

ANNIVERSARY DATE: Divy'~Jo~n o¢ ~EviaPnation,
October 4, 2007 .y-~fViining and S
f

ANNUAL FEE DUE: a
ety
$$791.00 (Due on or before your anniversary date)
COUNTY: Costilla
COLORADO
DIVISION O F
RECLAMATION
MINING
SA ETY
Bill Ritter, Jr.
Governor
Harris D. Sherman
Executive Director
Ronald W. Cattany
Division Director
Natural Resource Trustee
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 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 map. If no new disturbances or reclamation have occurred durins the previous year and no
new changes to the previous year's map are necessary. then no new map is required. provided that the
Operator shall state this in the Annual Report. 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: Mathew L. Valdez
Penmittee Name
Address
Costilla County
352 Main St.
San Luis, CO 81152
Phone Number: [phone]
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. Annual Report instructions are enclosed.
Signature of Corporate Officer or O r
Date
Office of Office of
Mined Land Reclamation Denver Grand Junction Durango Active and Inactive Mines