Laserfiche WebLink
<br />ANNiiAi. FF,F, and RF.Pt7RT RF.Oi1F.ST <br />PERMITTEE NAME: Persolite Products, Inc. ~~~~ ~ ~ ~C04 <br />PERMff NO.: M-1977-319 -'-iri-.i of ittiaartla C G~olnny <br />OPERATION NAME: Swallow Perlite Mine <br />ANNIVERSARY DATE: November 22, 2004 <br />ANNUAL FEE DUE: $225.00 (Due on or before your anniversary date) <br />COUNTY: Custer <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 - _ I <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 lidperformed 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 anm~al re~nrf and annnal report man to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Michael J. Steiner <br />Permittee Name: Persolite Products, Inc. <br />Address: P.O. Box 505 <br />201 S. Robinson <br />Florence, CO 81226 <br />Phone Number: (719) 784-6531 <br />Fax Number: (719) 784-4855 <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 <br />enclosed. <br />-~lil,~adQ <br />Signature of Corpo Officer, Owner, or Designee <br />Date <br />MiPERM171A fASTERDOCUMENTS/M-AF-02.DOC <br />