2006-07-25_REPORT - M1979131 - Laserfiche WebLink

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.hn~K- RECE~~fED PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNNERSARY DATE; ANNUAL FEE DUE: COUNTY: /ANNiiAi. FF.F, and RF.PfIRT RF,t7iTF.ST r/ Fred L Korinek ~M-1979-131 Korinek S & G Pit July 27, 2006 ~JUL 2 5 2U06 I/ BivfaiBn et Minprels and Geology $281.00 (Due on or before your anniversary date) Crowley Accozding_to C.R.Sl3432.5-1~.b.or C.R.S. 34-32-11b,.each-year, on-the-anniversary-date-of *.he-permit,-an-eperator - shall submit the annual fee, a report and map showing the extent of current disturbances to affected 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 y~rr revised written annual tenor[ and annnal report maTtn this form- The Annual Report & Fee requirement is not met until we have received the following 3 components: fee, tenor[- and associated map (A113 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 since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Fred L. Korinek Permittee Name: Fred L Korinek Address: 550 Lane 15 Manzanola, CO' 81058 `~ ' ~ - - Phone Number: (719) 254-7271 Fax Number: 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. 3 S' ature of Corporate Officer, Owner, or Designee Date