2011-09-09_REPORT - M2001023 (3)

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T 2011 -09 -08 06:23 DRMS PERMI'TTEE NAME: PERMIT NO.; OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: Permittee Contact: David S. Zehner Permittee Name: Precision Excavating, Inc. Address: P.O. Box 790 Phone Number: (970) 276 -3359 Fax Number: (970) 276 -3084 Signa e of Corpo to 7 / g I i Date Hayden, CO 81639 , Owner, or Designee 3038328106 » 9702763084 P 2/2 ANNU'A�, FEE and REPORT REQUEST c Precision Excavating, Inc. -2001 -023 Camilletti Milner Pit #2 August 1, 2011 $791.00 (Due on or before your anniversary date) Routt Milling and Safe /\ r RECIEWn SEP . 0ivision of Reclamation, cf- /74- ? According to C.RS, 34-32.5 -116 or CRS. 34-32-116, each year, on the anniversary date of p ermit, 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 youir rev ised written annual repo and annual rpnort man to this form The Annual Report & Fee requirement is not met until we have received the following components: fee,rport, and associated map. It n + ew di: J ncee t r reclam on hay : curred urht th r revi; r and n new ch es 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: If you have additional comments and/or information that should be provided to the Division, please provide it belo-r attach it to form aloe_ with your written report and map. Annual Report instructions are enclosed.