2010-03-22_REPORT - M1997098 - Laserfiche WebLink

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01- 6jp * Q ANNUAL FEE and REPORT REOUEST ?? PERMITTEE NAME: Flat Top Flagstone, LLC PERMIT NO.: M-1997-098 OPERATION NAME: Flag Creek Mine ANNIVERSARY DATE: March 30, 2010 ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) COUNTY: Rio Blanco CEN ,/ MAR 2 2 WU Division of Reclamation, Mining & Safety 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 changes to the previous vear's map are necessarv. then no new map is reauired. 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: Lois Hybarger Permittee Name: Address Flat Top Flagstone, LLC 2454 Patterson Road, Suite 210 Grand Junction, CO 81505 Phone Number: (970) 255-8088 Fax Number: 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. V b U, Signature of Corpora Officer, Owner, or Designee ?Ak (-e L l-4, 20 1CO Date