2008-10-14_REPORT - M2000072

• Permit No: M2000072
• IBM Index Class Name: REPORT
• Doc Date: 10/14/2008
• Doc Name: Annual Fee/Report/Map
• From: Lindsey Canyon, LLC
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

WF 'k- VT
ANNUAL FEE and REPORT REOUEST
PERMITTEE NAME: Lindsey Canyon, ??-
PERMIT NO.: M-2000-072
OCT 14
ZOU? ?/
OPERATION NAME: Lindsey Canyon LLC
Division u ;d ion,
ANNIVERSARY DATE: October 29, 2008 Alining and Safety V
ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date)
COUNTY: Montrose
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 w ll-be performed-during-the-coming-year; the-dates-.or-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 vear's map are necessarv. then no new man 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:
Permittee Name:
Address:
Phone Number:
Fax Number:
q70 - 07Y0 -- D I yy
If you have additional comments and/or information that should be provided to the Division, please provide it
b ow attach it toAis form along with your written report and map. Annual Report instructions are enclosed.
Signau?e of Corporate officer, Owner, or Designee
??II
Date
Gary W. Cooper 7f02 1'df?
Lindse Canyon, LLC
11554 64.50 Road
Montrose, CO 81401
[phone]