Laserfiche WebLink
~~ <br />ANNiiAi. FF,F. and RFP(1RT RF(IiTFST <br />ga^~'T4°,Y~°.~ <br />PERMII"I'EE NAME: Lake County ~ JUN i 4 Zu05 <br />PERMIT NO.: M-1977-071 M <br />U:,.ala:, .. P6.,;crza. to GzoluSY <br />OPERATION NAME: Half Moon Pit <br />ANNIVERSARY DATE: May 25, 2005 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Lake <br />According to C.R.S. 34-32.5-11b or C.R.S. 34-32-116, each yeaz, 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 />Please attach ynnr revised written annual rennrt and anm.al report ma= to this form. pjggse note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a writien <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Brad Palmer <br />Permittee Name: Lake County <br />Address: P.O. Box 964 <br />Leadville, CO 80461 <br />Phone Number: (719) 486-0259 <br />Fax Number: (719) 486-0259 <br />If you have additional comments andlor 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 />Sign lure of Corporate Officer, Owner, or Designee <br />~,r- 31-ds' <br />Date <br />M:~esw,srr~Masrexoocu~rrrswz-nF-oa <br />