2007-03-07_REPORT - M1981236 - Laserfiche WebLink

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r PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: i Y"! I ANNUAL FEE and REPORT REQUEST ~- Raymond C. Petersen ~ M-1981-236 Colorado River Ranch Gravel Pit March 29, 2007 ~PygR p ~ ~ivrslon ort ,,?001 i M'n'n9and,ga~~~ey, $$688.00 (Due on or before your anniversary date) Grand 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 shalLsubmit the annual .fee, _a_report_and map showing. the .extent of current disturbances to_affected .land, _. reclamation accomplished to date and during the preceding yeaz, new disturbances that are anticipated to occur during the upcoming year, reclamation that will be performed during the coming yeaz, 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 durine the previous year and no new changes 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: Permittee Contact: Raymond C. Petersen Permittee Name: Raymond C. Petersen Address: P.O. Box 832 Kremmling, CO 80459 Phone Number: (970) 724-9327 Fax Number: (970) 724-9327 If you have additional comments and/or information that should be provided to the Division, please provide it below-er~ttach it to this form along with your written report and map. Annual Report instructions are enclosed. or Date