Laserfiche WebLink
c~~ <br />I~CEIl~ <br />FEB 17 <br />D~uision of Minetil{s ana l:'o.::: .• <br />PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br /> <br />Hall-Irwin Corporation <br />al~~f~ <br />1-il -o(, <br />SA..~1 q..o! <br />L.TA~' <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />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 <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 anticipated to occur <br />during the upcoming year, reclamation that 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 ynnr revised written anmial report ands repnrf m ~ to this form. Please note that an <br />adequately labeled map that clearly delineates and includes [he above elements may suffice for a written report. <br />Division records indicate the following pemrittee contact information. Please verify and make any necessary <br />changes: . <br />Permittee Contact: Jeff Gregg <br />Permittee Name: Hall-Irwin Corporation <br />Address: 301 Centennial Dr. <br />Milliken, CO 80543 <br />Phone Number: (303) 587-7200 <br />Fax Number: (970) 352-6284 <br />R7o-S8~- 7279 <br />97cg -S&~. 7Z8q <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 enclosed. <br />Sign re of orporate O er, Owner, or Designee <br />~~/O Lo <br />Date <br />