Laserfiche WebLink
ANNUAL F~E aiid REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.; <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />/Central Aggregates, Inc. <br />~1GI-1981-006 <br />West Rifle Pit <br />Apri127, 2007 <br /> <br />APR 3 0 2007 <br />„Qiflision of rc~~:~riation, <br />Wining and Safsty <br />$$688.00 (Due on or before your anniversary date) <br />Garfield <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 operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur _ <br />-"- "during"the upcoming year, reclamation that will-be~ormed during the coming year, the dates for the beginning <br />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. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />map. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to <br />the previous year's maa are necessary, then no new man is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Gilbert T. Lee <br />Permittee Name: Central Aggregates, Inc. <br />Address: P.O. Box 1877 <br />Phone Number: <br />Fax Number: <br />Rifle, CO 81650 <br />(970) 625-3598 <br />(970)625-4221 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this fomtalong with your written report and map. Annual Report instructions are enclosed. <br />7 Cam, <br />Signature of Corporate Offic~r},Owner, or <br />~/0 <br />Date <br />