Laserfiche WebLink
i III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />PERMITTEE NAME: Bucklen Equipment Company <br />PERMIT NO.:' $~-131 <br />OPERATION NAME: Bucklen Equipment Co <br />ANNNERSARY DATE: September 20, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Weld <br />~K ~~a~3 \ ~ 6~ <br />RECEIVEr <br />SEP 11 ~.~o'~- <br />Division of Alllgra~- <br />~6r, <br />According to C.R.S. 34-32-1 l6(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to 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 that will be performed during the coming year, the <br />dates for the beginning of activt; 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 report. Please <br />note that an adequately labeled map tkat clearly delineates and incGrdes the above elements Wray <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: CCIA~ t.l(CIIJf./t) <br />Address: gDt-~rt1,2Sf~ Rtat. <br />Company:e%~[l~ln~ E¢~p~p~,,~; <br />Phone No.: (e(~70 )353 - o7zb <br />FAX No.: (970 ~ 353 o7Z! <br />e-mail: <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet azid attach it to this repon form along with your map and/or written <br />report. <br />4~z~s-I o0 <br />Signature of Cor rate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M'~PERM ITU1 ASTERDOCUMENTSV.I-AF-01 <br />