2006-07-11_REPORT - M2001038 - Laserfiche WebLink

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~~. PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: 1% ANNUAL FEE and REPORT REQUEST ~~p~~` r~~ t/ David A. Lincoln ~M-2001-038 Bennett Sand & Gravel Pit #2 August 6, 2006 $688.00 (Due on or before your anniversary date) Adams ~'JUL 1 11006 ~Oivisioo of Minerals and Geology 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 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. Please attach vour revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map (All are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: David A. Lincoln Pennittee Name: David A. Lincoln Address: 50500 E. 72nd Ave. Bennett, CO 80102 Phone Number: (303) 644-3030 Fax Number: (303) 644-4743 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this forma ng 'th your written report and map. Annual Report instructions are enclosed. Signature of Co orate Offi er, Owner, or esignee 90 Date