Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br /> <br />ANNUAL FEE and REPORT REQUEST <br />Montrose County <br />M-1977-407 <br />Cedar Creek Pit <br />January 30, 2001 <br /> <br />Ft~C~IV~"~? <br />DEC 0 4i 2000 <br />i]ivisien of Mine ~als and Geology <br />$688.00 (Due on or before your anniversary date) <br />Montrose <br />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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during t}te preceding year, new disturbances that :rre anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. Phrase note that an <br />adeyua[ely labeled nrap that clear/v delineates and includes the abore elenren[s rnny suffr.e jor a rvrrrlen <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Brian Wilson <br />Permittee Name: Montrose County <br />Address: P.O. Box 1289 <br />Montrose, CO 81402 <br />Phone Number: (970) 2d9-7755 <br />Fax Number: (970) 2d9-7761 <br />If you have additional comments artd(or information that should be provided to the Division, pease provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />~ ~ ~/~ <br />Signature of Co/rporate Officer or Owner <br />/~/,~/r <br />Date <br />M WERMIMIASTERDOCUP.fENTS~M-AF~U4 <br />