Laserfiche WebLink
~~ y ~' l CDn'1 / <br />cA~NNIJAT, FF.F, and RF.P(1RT RF,OTIF.ST <br />PERMITTEE NAME: f C Ison Excavating Company <br />PERMIT NO.: 979-059 R~ECEIVE® <br />OPERATION NAME: ~ ~ _ Br`ownwood Pit //NOV 2 ~ '~ <br />ANNIVERSARY DATE: November 20, 2005 <br />Division of Minerals and Geology <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Latimer <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 />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 ynnr revised written anneal re~~nnrt and anmral rennrt m ~n to this form- Please note that an <br />adequately Zabeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />------changes: ~_ ,-_ ~____ - __ _____~ _ <br />Permittee Contact: Richard Coulson <br />Permittee Name: Coulson Excavating Company <br />Address: 3609 N. CR 13 <br />Loveland, CO 80538 <br />Phone Number: (970) 667-2178 <br />Fax Number: (970) 667-2193 <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 />1 v~oua-wn.,...... Ss- Ica P-y <br />Signature of Corpora Offic r, Owner, or Des gnee <br />~bl~~ ~p~p ~iJi.. lg~ ~~J <br />Date <br />