Laserfiche WebLink
"f <br />.. ~ ~ '~ ii~~i~-~i~i-iuiiii <br />ANNUAL REPORT <br />PERMITTEE NAME: Farnsworth Construction Co <br />PERMIT NO.: M-82-154 <br />OPERATION NAME: Farnsworth Gr Pit 2 <br />ANNNERSARY DATE: November 05, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Delta <br />~~ <br />t,.,,,~ <br />~~ <br /> <br />M,neta4a&GeotagY <br />According to C.R.S. 34-32.5-116(3)(a), each yeaz, on the anniversazy date of the permit, an operator <br />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 <br />anticipated to occur during the upcoming year, reclamation [hat will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach vour revised annual report map and written report to this annual report. Please <br />note that an ndequate(y labeled reap that c[enrly delineates and includes the above elements pray <br />suffice for n wrrtten report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contac[Name~/Q7~i~ iCi~` /z~rrtSlt~~ (:ompany:~~a-rhSLC~et~'7y1 ~D~~.sL tC~'iL(JLI ~~ <br />Adddress: [ ~(~ ~ u't.t. 1 3(~~~ Phone No.: (C/ 7!}) ,5 ~7 - y5~,.3 y <br />~Acr~yl~~A ~ $' l yob b Fax No.: (qT//~ 'c.3^a-7 - c~ r7 a oZ <br />If there are additional comtnents and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />~- G, q <br />Signature of C rporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />