Laserfiche WebLink
:" <br />• ~ j ~~ <br />6 <br />AN]VI7Af. FF.F, and RF,PORT RF.~iTGST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br /> <br />ANNIVERSARY DATE: / Baca County <br />t/M-1981-138 <br />Gravel Pit No 17 <br /> <br />July 24, 2006 'ECE'11/ED <br />~ +~UM ? 1 ~' <br /> <br />E. ~,sian of Minerala end6eologp <br />ANNUAL FEE DUE: $281.00 (Due on or before you r anniversary date) <br />COUNTY: Baca <br />n~~ <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-the preceding-year, new disturbancestharare-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 />PI ae se~___ a _ttach ynnr rrviced written annual re~nrt and annual report m T to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes; <br />Permittee Contact: Bill Wright <br />Permittee Name: Baca County <br />Address: 74l Main St. <br />Springfield, CO 81073 <br />Phone Number: (719) 323=6532 _ ~- ~ - <br />Fax Number: (719) 523-6584 <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 form along with your written report and map. Annual Report instructions are <br />enclosed. <br />-~6~~ (.~ <br />Signature of Corporate Officer, caner, or Designee <br />~ .~-~ ~ G <br />Dat~ <br />M:~PERMITN7ASTERDOCUMENTS~M-AF-04 <br />