Laserfiche WebLink
~- <br />r <br />A4' ~ R~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Delta County t~ <br />M-1978-168 <br />Pig Mesa Pit <br />October 26, 2007 <br />Ro~ E~UE~ <br />Division o/ZJr?QQ, Li <br />Mining and 3a @atipn. <br />~ ~, <br />$$791.00 (Due on or before your anniversary date) <br />Delta <br />__ According. to C_R.S_ 34-32.5-116_ or C.R.S. 3432=116,_eacl>-yearron_the anniversa>:y_.date o~the pemrit,_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 disturbances that are 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 reuort man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee. report, and <br />associated man. If no new disturbances or reclamation have occurred durine the previous year and no <br />new changes to the previous year's map are necessary, then no new mau is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: Larry Record <br />Permittee Name: Delta County <br />Address: 501 Palmer St., Ste. 227 <br />Delta, CO 81416 <br />Phone Number: (970) 874-2100 <br />Fax Number: (970) 874-2114 <br />If you ha ditional cot~ent4ta or inlb~ <br />below o ach t thi fot ~ on with <br />i that should be provided to the Division, please provide it <br />written report and map. Annual Report instructions are <br />na rebt~brate VI}icer, glwner, or llestgittr <br />lU ~ c~3~`~ <br />DaDa-t~ <br />M:~PERMI'M1AS7ERDOCUMEMSUI-AF-09 <br />