Laserfiche WebLink
~-~ <br />~ANNTIAT, FF.F, and REPORT RF.ni1F.ST <br />a/ <br />RECEIVED <br />~JUL 10 20~ <br />~ision o! Minerals artd Qeotapy <br />PERMITTEE NAME: <br />PERMIT NO.: /Oldcastle SW Group, Inc. dba Four Corners Materials <br />/M-1976-020 <br />OPERATION NAME: Thomas Pit <br />ANNNERSARY DATE: July 28, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <br />According to G,R.S. 34-32-.-5-116 or C-R.S. 34-32-1-16,-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 ]and, <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~nur revised written annnal renn and annnal re nrn t warn to this form. The Annual Report <br />& Fee requirement is not met until we have received the following 3 components: fee~rs}uyt, and assneiated <br />TL911 (All 3 are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Mazda L. Talvitie <br />PermitteeName: Oldcastle SW Group, Ina dba Four Comers Materials <br />Address: P.O. Box 2707 <br />Durango, CO 81302 B/30z --z70/~' <br />Phone Number: (970) 247-2172 <br />Fax Number: (970) 259-3631 <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 instructiens are enclosed. <br />~ . ~~ , <br />Signature of Corporate Officer, Owner, or esignee <br />07 ~/u/ .2L~ <br />Date <br />