Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Prowers County <br />M-1987-009 <br />Jones Pit East <br />February 26, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Prowers <br />RECENEp <br />JAN 3,1 ~ <br />Division of Mineiak end BBOlogp <br />each year, on the anniversary date of the permit, 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 ynnr revised written annual rennrt and annual rennrt m ~n fn this form- Please note that an <br />adequately labeled map that clearly delineates and Includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Mark Doreukamp <br />Permittee Name: Prowers County <br />Address: 301 S. Main, Ste. 215 <br /> Lamar, CO 81052 <br />Phone Number: (719) 336-5536 _ ^ <br />Fax Number: (719) 336-2255 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signature of Corporate Officer, Ow r, or Designee <br />XI)ate ' <br />M:~PERMITMASTEftD000MENTS~M-AF-09 <br />