Laserfiche WebLink
/~~ <br />1 <br />~-~ y ~PP~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Charles Bud Keeling <br />~-1991-081 <br />Keeling Pit <br />September 23, 2005 <br />$281.00 (Due on or before your anniversary date) <br />Huerfano <br />RECEIVED <br />~EP 2 62005 <br />7~ Division of Minerals and Gaolopy <br />According to (` R C 'td_~~ 5.1 t ~~~~c,~?~n 3~ + ~~.,..w rvers o rat~r- <br />>~erron-the-ann~ arq-date' ft}~e-permit;an-ape <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and 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 />Please attach ymrr revised written anmial reQnrt and annual re nr~r t mgn fn fhic form- Please note that an <br />adequately labelled ~ap that cley~ly delineates a d includes the above of eme/zts may since for a written report. <br />~~e di~s'~~~>~ f~-~a is ~e ~y~r ~t~s last ~~ <br />Division records indicate the following permrttee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Sam M. Keeling Jr <br />Permittee Name: Charles Bud Keeling <br />Address: P.O. Box 361 <br /> LaVeta, CO 81055 <br /> <br />PYio~e'I~umb~r: "(7t~J'7~2=5557 <br />Fax Number: <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 />Signature of/Co/rporate Officer, O er, or Designee <br />Date <br />