2006-07-21_REPORT - M2002122 - Laserfiche WebLink

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PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: t/ANNfiAi. FF,F. and RF.P(1RT RF. iiF.ST p~/Seifert Construction (/ M-2002-122 Boyer Pit July 23, 2006 _ RECEIVED ~// `~JUL 212006 '' Division of Minerals and GealoBY $688.00 (Due on or before your anniversary date) Custer 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-scbmit-the-anrrual-fee-a-Teprrt-and°map-showirt~tiZ-extent-of ~urreni-8isturbances "to`affecfed land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur 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 ynnr revised written anneal rennrt and anneal re nrt m P to this form. The Annual Report & Fee requirement is not met until we have received the following 3 components: fee_ renn ,and associated iltap (All 3 are required regardless of the level of disturbance or'absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Jerald A. Seifert Permittee Name: Seifert Construction Address: CF.PR.address 1 P.O. Box 305 -- - - Westcliffe,-,CO.81252. _ - - -" Phone Number: (719) 783-2757 Fax Number: (719) 782-2988 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. ~. <'~~~ ~ Signature o orpor to Office ,Owner, or Designee - l -I -C1 b Date