2006-07-11_REPORT - M1980020 - Laserfiche WebLink

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~~ ANNIIAI. FF,F, and RF.PfIRT RF.OiTF,ST PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: '/ARS Sand & Gravel Co., LLC // M-1980-020 Braley S&G Pit No 1 July 15, 2006 RECE6\/ED ~ ~U~ ~ ~ 2~ /Division of Minerals and Dnnlopy $688.00 (Due on or before your anniversary date) Douglas - -According to C.R.S. 34-32:5-116 or CR:S. 34-32=116,, eacliyear, on the anniversary date of the permit, an operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach your revised written annual red nrt and annnal report m to this form- The Annual Report & Fee requirement is not met until we have received the following 3 components: fSSy reps, and associated tpS(i (A113 are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: $ Permittee Name: ARS Sand & Gravel Co., LLC Address: 8505 W. Mtn. View Ln. Phone Number: Fax Number: Littleton, CO 80125 ~483}346.5~39~ (303)791-7405 ~..~/G/,..~, If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. S~. i ~~z,,~i~. Signature of Corpo to Officer, Owner, or Designee ~I2~Io~ Date