Laserfiche WebLink
ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMTT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />River Bottom Land Corporation <br />M-1992-100 <br />River Bottom Land Gravel <br />February 5, 2002 <br />$281.00 (Due on or before your anniversary date) <br />Delta <br />E~ <br />RECEIV <br />JAN 2 4 2002 <br />Division of Minerals and Geolo9Y <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 />reel-amauon accomp is e to ate an3~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 />ich your revised written annual report and annual report map to this form. Please note that an <br />labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permi[tee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Patricia Farnsworth <br />Permittee Name: River Bottom Land Corporation <br />Address: 1444 Hwy. 133 <br /> Paonia, CO 81428 <br />Phone Number: (970) 527-4434 <br />Fax Number: - (970)-527-5522 - - _ - <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 />~.; ~ .~ .~ <br />Signature of Corporate Officer or Owner <br />Date <br />M 1PERMIT\MASTERD000M ENTSU4-AF-01 <br />