2006-07-06_REPORT - M1983193 - Laserfiche WebLink

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~. e~rll~' ~ANNTIAT, FF.F, and REPORT RF.nT1F.ST PERMTTTEE NAME: / ~2 E Monks Construction Co. ~A!r' f'" PERMIT NO.: M-1983-193 ~~(~~ U 6 ~~ OPERATION NAME: Monks Plant No 1 ANNNERSARY DATE: July 29, 2006 "Div"ision of Minerals and GeologT ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) COUNTY: EI Paso n'~'L 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 cun•ent 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 ynnr revised written anneal re~nrt and anneal repnrf main, to this form. The Annual Report & Fee requirement is not met until we have received the following 3 components: feg,,re~, and associated snap (A113 are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Dennis Good Permittee Name: R E Monks Construction Co. Address: P.O. Box 25579 Colorado Springs, CO 80936 Phone Number: (719) 495-3621 Fax Number: (719) 495-1281 ~ ~q - ~W~J • V-1~O~ d~ 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 Repor[ instructions are enclosed. Signature of Co to Officer, Owner, or Designee c~-a Date