2009-02-19_REPORT - M2004067

• Permit No: M2004067
• IBM Index Class Name: REPORT
• Doc Date: 2/19/2009
• Doc Name: Annual Fee/Report/Map
• From: Clear Creek District Water Providers LLC
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Clear Creek District Water Providers, L.L.C.
M-2004-067 ?
MMRR Quarry
February 22, 2009
PEce®
FEB 19 2000 `Division of Reclamation,
Mining and Safety
$$791.00 (Due on or before your anniversary date)
Gilpin
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permif,-ari-" -
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 vour 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 chanizes to the previous vear'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: Robert A. Lembke
Permittee Name: Clear Creek District
Address:
Water Providers, L.L.C.
5460 S. Quebec St.,_ Ste I 10
Greenwood Village, CO 80111
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 th s form along with your written report and map. Annual Report instructions are
enclosed. I
Signature of o orat icer, ner, or esi ee
Date
M: \PERMI7\MASTERDOC CTMENTS\M-AF-04