Laserfiche WebLink
I'VI ~1Z- <br />C'/ i1~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />v ANNTTAT.FF.F.andRF.Pt1RTRF,,QTTF,ST ®~~~i~/~~ <br />~ Larimer County <br />/ M-1977-425 <br />Strang Gravel Pit <br />Apri123, 2006 <br />'MAR 2 ~ 2006 <br />i~ pwroron of Minerals and Geology <br />$688.00 (Doe on or before your anniversary date) <br />Larimer <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Pgace a to hyn n• revised written anneal rp„part and annual re~nrt ma~tn this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may su~ee for a written <br />report. <br />Division records indicate the following perntittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Dennis C. Morrison <br />Permittee Name: <br />Address: <br />Larimer County <br />P.O. Box 1190 <br />Fort Collins, CO 80522 <br />Phone Number: (970} 498-5652 <br />Fax Number: (970) 221-0232 <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 <br />enclosed. <br />Signature of Co orate fficer, Owner, or Designee <br />\~3 0~ <br />Date <br />M:NERMITMASTERDOCUMENTS4N-AF-04 <br />