2005-08-01_REPORT - M1978267

• Permit No: M1978267
• IBM Index Class Name: Report
• Doc Date: 8/1/2005
• Doc Name: Annual Fee/Report/Map
• From: otero county
• To: dmg
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Otero County (Engineering)
M-1978-267
Argo Gravel Pit
August 26, 2005
According to C.R.S. 34-32.5-116 or C.RS. 34-32-116, each year, on the anniversary date of [he permit, an
operator shall submit the annual fee, a report and map showing the extent of current disturbances [o 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.
Pleaseattach~m.r revised written annual report and anm~al report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffece.for a writte~t
report.
Divisiontecords indicate the following permittee contact information: Flease verify and make any necessary
changes:
Permittee Contact: Kenneth S. Parker
Permittee Name: Otero County (Engineering)
Address: P.O. Box 511
La Junta, CO 81050
Phone Number: [phone]
Fax Number: [phone]
$688.00 (Due on or before your anniversary date)
Otero
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 repoR and map. Annual Report instructions are
enclosed.
Signattue/' orporate Officer, er, or Designee
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