Laserfiche WebLink
i <br />ANNUAL REPORT <br />CPsfuAS <br />PERMITTEE NAME: E c. <br />PERMIT NO.: M-1985-112 <br />OPERATION NAME: Ed Loloff Coast Inc <br />ANNNERSARY DATE: February 4, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Weld <br />I I <br />• III IIIIII^II IIII III <br />999 <br />RECEIVED <br />JAN 12 20A~ <br />rnviaon of Minetay a Geob9Y <br />According to C.R.S. 34-32-] lb(3)(a), each yeaz, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing [he extent of current disturbances t0 affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation [hat will be performed during the corking year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual deport. P[ense <br />note that an ac(eyuately labeled reap that clearly delineates and includes the above elements may <br />suffice for n written report. <br />No operations at pit <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Don Loloff Company:Ed Loloff Construction, Inc <br />Address: F•0. BOX 518 Phone No.: ( 970-) 353-1821 <br />Kersey, CO 80544 <br />FAX No.: ( 979-3(;5-0953 <br />If there are additional cotnments and/or information that should be provided to the Dilvision, please <br />provide it on a sepazate sheet and attach it to this report form along with your map andl/or written <br />report. ~ <br />January 10, 200 <br />Signature of <br />br Owner <br />Date <br />INSTRUCTIONS ON BACK <br />A7:IPERAI FIV.IASTERD000M EMSNI~AF-01 <br />