Laserfiche WebLink
<br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Fremont County <br />M-1990-138 <br />Stirrup Pit <br />January 20,2004 <br />Division of Minerals & Dealopy <br />$281.00 (Due on or before your anniversary date) <br />Fremont <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 />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 ynnr revised written annnal ren^rt and annnal re~nrt mad to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice 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: Curtis Stone <br />Permittee Name: Fremont County <br />Address: Fremont County Commissioners <br />pq-.4-31.43143. <br /> <br />RECEIVED <br />'JAN 212004 <br />615 Macon Ave., Room # 105 <br />Canon City, CO 81212 <br />Phone-Number=- - (7-19)-276-7320-- <br />Fax Number: (719) 275-7626 <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 />~ ~ <br />_._..~ <br />ignature of Corporal Offi r, Owner, or Designee <br />~-r~-o~/ <br />Date <br />M:\PERM ITVNASTERDOCUMENTSVvt-AF-04 <br />