2006-06-12_REPORT - M2003003 - Laserfiche WebLink

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~~~ PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNNERSARY DATE: ANNUAL FEE DUE: COUNTY: ~~ i/ ANNTTAT, FF.F, and REPORT RF. TTF,ST Consolidated Constructors, Inc. M-2003-003 Westside Gravel DECEIVED / JUN 12 2006 ~/ piuision of Minerals end Gaet65Y July 2, 2006 $688.00 (Due on or before your anniversary date) La Plata __ _ __Acc9tding_tp.C.R.S,.3_4~32.5_ll6,or_C.R.S.34=321-16,-each_year,-on.theanniversary-date-of-the-permit;-an operator- - - -- shall submit the annual fee, a report and map showing the extent of current 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 your revised written annual rennrt and anm~al rrpnrt man to this form. The Annual Report & Fee requirement is not met until we have received the following 3 components: fee, r~nort, and associated map (A113 are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map thad clearly delineates and includes the above elements may since for a written report. Division records indicate the following pennittee contact information. Please verify and make any necessary changes: Permittee Contact: Joe Kozimor Permittee Name: Consolidated Constructors, Inc. Address: P.O. Box 629 - --`Farmington~NM 87499 -- - - Phone Number: (505) 326-7771 Fax Number: Csos~ aa~- ~~~~ t/ 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 Report instructions are enclosed. t^ Owner, or Designee Date