2008-07-07_REPORT - M1990070

• Permit No: M1990070
• IBM Index Class Name: REPORT
• Doc Date: 7/7/2008
• Doc Name: Annual Fee/Report/Map
• From: San Juan County
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: WHE
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
ANN FEE and kRE Or
San Juan County
M-1990-070
Eureka Gravel Pit
July 5, 2008
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REC,EF§VED
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$$323.00 (Due on or before your anniversary date)
San Juan
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 inticipated-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 changes to the previous year's may are necessary, then no new map is required. provided that the
O.uerator 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: Louis K. Girodo
Permittee Name: San Juan County
Address: 1512 Greene St
P.O. Box 466
Phone Number:
Fax Number:
Silverton, CO 81433
[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
enclose .
Signature of Corporate O ficer, Owner, or Designee
Date "o, z

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