2006-10-10_REPORT - M1981108 - Laserfiche WebLink

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~~Z ~~ -i3--~ ~SC~ PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: / ANNUAL FEE and REPORT REQUEST / Blue Mountain Stone I/M-1981-108 Beech Hill Quarries August 29, 2006 RIC~F ~~~~® ~OCT 10 2006 ~ision of Reclamation, Mining and Safety $688.00 (Due on or before your anniversary date) Larimer According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, rec]aniation accomplished to date and during t~ ie ece3ing 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, Please attach vour revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, reuort, and associated map (All are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Pennittee Name: Abe Vasquez Blue Mountain Stone Address: 4168 Ute Hwy. Longmont, CO 80503 Phone Number: (303) 823-9625 Fax Number: (303) 823-6888 If you have additional comments and/or information that should be provided to the Division, please provide below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. re of Corporate Officer, Owner, or Designee 0-10-66 Date