2008-03-27_REPORT - M1992017

• Permit No: M1992017
• IBM Index Class Name: REPORT
• Doc Date: 3/27/2008
• Doc Name: Annual Fee/Report/Map
• From: Montrose County
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

~:
PERMTTTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
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ANNUA~FL~E and REPORT RE VEST
O
~'Iontrose County
/M-1992-017
BLM/West End Pit
Apri124, 2008
$$791.00 (Due on or before your anniversary date)
Montrose
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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 during the previous year and no
new chanEes 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: Brian Wilson
Permittee Name: Montrose County
Address: Attn: Engineering Dept
161 S Townsend Ave
Phone Number:
Fax Number:
Montrose, CO 81401
[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 thi form along with your written report and map. Annual Report instructions are
ed.
Ignature of_Corporate Officer, caner, or Designee
/l
Date
M:~PERMIT~IvIASTERDOCUMENTSU~f-AF-04