Laserfiche WebLink
r s <br />r <br />f <br />l <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />C~~/< <br />ANNTIAT. FF.F. and RF.PCIRT RF,(~TIF.ST <br />~ Baca County <br />M-1985-100 <br />Gravel Pit No 23 <br />July 25, 2006 <br />REC~l~lED <br />~~JUL 12 20~ <br />~ Division of Minerals and GaoloBY <br />$281.00 (Due on or before your anniversary date) <br />Baca <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 submifthe"annual""fee, a repor[ 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 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 rnnr revised written annnal re~nrt and annnal re,Pnrt man to his 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: Bill Wright <br />Petmittee Name: Baca County <br />Address: 741 Main St. <br />Springfield, CO 81073 <br />Phone Number: (719) 523-6532 <br />Fax Number: (719) 523-6584 <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 />Si ature of Corporat~Offic, or Designee <br />~~-~ <br />Date <br />M:~PERMI7IMASTERDOCUMENTSVvI-AF-04 <br />