Laserfiche WebLink
f <br />r <br />• III IIIIIIIIIIIII III <br />AI~,.vr~i. tc~YUK'1' <br />PERMITTEE NAME: Mike Coleman and Jerry Seifert <br />PERMIT NO.: M-93-027 <br />OPERATION NAME: Schoolfield Pit <br />ANNIVERSARY DATE: October 04, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Custer <br />• <br />o. <br />~o <br />9FCF~~~C . <br />~~T <br />//~Sr0g0tM; o~ 1999 <br />ne,~~ $ G°o <br />l09y <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing tho c~tent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during [he upcoming yeaz, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the yeaz, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note that un adequntefv lnbeled map that clearly delineates and <br />includes the above elements may suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: Mary Seifert <br />Address: P•0. sox 305 <br />Company: Seifert Enterprises <br />Phone No.: ( 719-) 783-2757 <br />Westcliffe, Co. 81252 <br />Fax No.: (719 _) 783-2757 <br />If there aze additional comments and/or information that should be provided to [he Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />igna[ure of Corporate Off er, or Owner Date <br />INSTRUCTIONS ON BACK <br />