2006-11-22_REPORT - M1987166 - Laserfiche WebLink

Home Browse Search

C ~'~ ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: Westhoff Farms PERMIT NO.: ~M-1987-166 OPERATION NAME: Westhoff Farms ANNIVERSARY DATE: December 1, 2006 ANNUAL FEE DUE: $$281.00 (Due on or before your anniversary date) COUNTY: Morgan Y~ fl~~-cfv ~~f~~Y 2 2 2006 VDivision cf R~!:;az,ation, Mining entl Safety 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 reclamation accomplished to date and during the preceding yeaz, 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 your revised written annual report and annual resort maa to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, resort, and associated man. If no new disturbances or reclamation have occurred durinti the previous year and no new chanties to the previous year's map are necessary, then no new map is required. provided that the Operator shall state Yhis in the Anuual Resort. Please nose 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: Joseph E. Westhoff Permittee Name: Westhoff Farms Address: 2823 RD3 i 1?~i ~~Z/1P--a/L- , Wiggins, CO 80654 Phone Number: (970) 483-5561 Fax Number: (970) 483-5561 If you have additional comments and/or information that should be below or attach it to this form along with your written report and map. Signature/of Corporate Officer, Owner, or Designee Date provided to the Division, please provide it Annual Report instructions are enclosed.