Laserfiche WebLink
.` <br />• ~IIII~II~IIIIII~III <br />sss <br />ANNUAL REPORT <br />PERMTTTEE NAME: City of Monte Vista <br />PERMIT NO.: M-1992-060 <br />OPERATION NAME: Lagoon Pit <br />ANNTi/ERSARY DATE: October 20, 2000 <br />ANNUAL FEE DUE ON ANNTiTERSARY DATE: $281.00 <br />CCIUNTY: Rio Grande <br />~:~o3a3as~ ~281~ <br />.,~ <br />.:. <br />OCT P 3 2:~0 <br />Division of Minerals and Geology <br />According to C.R.S. 34-32-116(3)(a), each yeaz, 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 <br />[o affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming yeaz, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />Please Wore that an adequately labeled map that clearly delineates and includes the above <br />elements may since for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: Dame 8oward <br />4 Chico Camino <br />Monte Vista. CO 81144 <br />Company: City of Monte Vista <br />Phone No.: (719 ~ 852-2692 <br />FAX NO.: ( 719 i RS _(,7 77 <br />e-mail: <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map andfor <br />written report. <br />~Lw /~_oWT~,ir/ / - /G/- ~ and <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:W ERMI'M7ASTERD000MEMSN7-AF-09 <br />