Laserfiche WebLink
~ iii iiiiiiiiiiiuiii <br />ANNUAL FEE and REPORT REQUEST RECEI4/ED <br />PERMITTEE NAME: Lake County MAY 2 3 2001 <br />PERMIT NO.: M-1977-071 Division of Minerals and Geology <br />OPERATION NAME: Half Moon Pit <br />ANNIVERSARY DATE: May 25, 2001 <br />ANNUAL FEE DUE: $225.00 (Due on or before your anniversary date) <br />COUNTY: Lake <br />~~ <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 your revised written annual resort and annual resort maa to this form. Please note that an <br />ade9uately labeled map that clearly delineates and ir:cludes 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: pp <br />Permittee Contact: Steven R. Kleeberger P~Ob~ n ~h i ro <br />Permittee Name: Lake County <br />Address: County Administrator Gq-tce. rpa,nr.r~Jj~fw'iR~q;f' <br />P.O. Box 964 <br />Leadville, CO 80461 <br />Phone Number: (719) 486-0259 <br />Fax Number: (719) 486-0259 <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 />>ti <br />Si ture of Corporate Officer or Owner <br />S17~3/p l <br />Date <br />M:~PERM ITV.IASTERDOCUMENTSV~A ~AF-04 <br />