Laserfiche WebLink
ANNiiAi. FF.F, and RFP(7RT RF.OiTF.ST R~CEIVE® <br />PERMITTEE NAME: Bent County Ready Mix JAN 3' <br />PERMIT NO.: M-1995-007 <br />of Minerals and Geology <br />i <br /> on <br />Divis <br />OPERATION NAME: Thomeczek Pit <br />ANNIVERSARY DATE: February 6, 2005 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) L~ <br />COUNTY; Bent <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />-laRC1,='reElamafien-aceernplished-te-daY®-aed-daring-the-preeedi:;g-year; new disturbances-Ehatare-antieipated-hr"- <br />occur during the upcoming year, reclamation that will be performed 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 your revised written anneal rennrt and anm~al re~nrt main, 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: Joe H. Thomeczek <br />Permittee Name: Bent County Ready Mix <br />Address: <br />Phone Number: <br />Fax Number: <br />P. O. Box 387 <br />Las Animas, CO 81054 <br />(719)456-1320 <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 />Sign a of Corporate Of er, Owner, or Designee <br />i-ag-o~ <br />Date - <br /> <br />M:~PERMITNIASTERD000MENTSNI-AF-04 <br />