Laserfiche WebLink
iii iiiiiiiiiiiii iii <br />999 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Hardrock Sand and Gravel <br />M-1977-443 <br />Moon Pit No 2 <br />November S, 2001 <br />REI~EIVED <br />DEI; 2 4 2001 <br /> <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Moffat <br />According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />shall 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 t:nticipa[ed to occur <br />during [he upcoming year, reclamation [hat will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. Please note that an <br />adequntely~ labeled map that e[early delineates and includes the above elements mm• since for n written report. <br />Division records indicate [he following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Pat 1. Weber <br />Permittee Name: Hardrock Sand and Gravel <br />Address: P.O. Box 141 <br />Phone Number: <br />Fax Number: <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it [o this form along with your written report and map. Annual Report instructicros are enclosed. <br />r <br />Si azure o Corporate Officer or Owner <br />~~1- /~a> <br />Date <br />Craig, CO 81626 <br />(970)824-3944 <br />~v ~/ ~Lf/A//IVY ~C~/ /!~%r/PS <br />~ti~ ~~sfi y~~~r <br />M.WERA7 rIV.7A5TER DOCUM ENrSN7 AF OI <br />