2002-01-23_REPORT - M1974041

• Permit No: M1974041
• IBM Index Class Name: Report
• Doc Date: 1/23/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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999
ANNUAL FEE and REPORT REQUEST
PERMITTEENAME: Lawrence Construction Company RECEIVE®
PERMIT NO.: M-1974-041 JAN 2 3 2002
OPERATION NAME: Lawrence Pit
Division of Minerals and Gealagy
ANNIVERSARY DATE: January 29, 2002
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Douglas
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator
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.
Bch vour revised written annual report and annual report map to this form. Please note that an
labeled map that clearly delineates and includes the above elements may su~"ice for a written report.
Division records indicate the following permittee contact information, Please verify and make any necessary
changes:
Permittee Contact: Bill Lawrence
Permittee Name: Lawrence Construction Company
Address: 9002 N. Moore Rd.
Littleton, CO 80125
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it tothis form along with your written report and map. Annual Report instructions are enclosed.
Corporate Officer or Owner
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