2006-12-07_REPORT - M1999050 - Laserfiche WebLink

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~s~' PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNNERSARY DATE: ANNUAL FEE DUE: COUNTY: / ANNUAL FEE and REPORT REQUEST ~/Connell Resources, Inc. t/ M-1999-050 Timnath Connell Pit December 9, 2006 RECE-VED /~~ DEC 0 ~ 2006 //Division of ReGamatlon, Mining and Safety $$688.00 (Due on or before your anniversary date) Larimer ;og~~ is 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 shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, 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 vour revised written annual report and annual resort map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to the previous year's map are necessary. then no new map is required, provided that the Operator shall state this in the Annual Report. 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: Ric n ~ Permittee Name: ~ Connell Resources, Inc. Address: 4305 E. Harmony Rd. Fort Collins, CO 80528 Phone Number: (970) 223-3151 Fax Number: (970) 223-3191 If you have additional comments and/or information that should be provided to the Division, please provide below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. Signature of Corporate Officer, Owner, or Designee Date