2006-05-18_REPORT - M2004061

• Permit No: M2004061
• IBM Index Class Name: Report
• Doc Date: 5/18/2006
• Doc Name: Annual Fee/Report/Map
• From: Linke Construction Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Linke Construction Inc.
/M-2004-061
Cottonwood Quarry
May 23, 2006
/ / MAY 18 20~
OivisiveofMineralamd6oolopy
$688.00 (Due on or before your anniversary date)
Grand
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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 shalLsubmit_the annual fee, a.report and map showing the-extent of_current.disturbances to,affected__ . _.
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 ynnr revised written annnal rennrt and annual re nr~ t mgn to this fnrm_ 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: Richard Linke
Permittee Name: Linke Construction Inc.
Address: P.O. Box 1006
Phone Number:
Fax Number:
Granby, CO 80446
[phone]
[phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
i!~~ ~~
Signature of CorpB fficer, Owner, or Designee
.s'-/y~6
Date
M:~PERMITVvIASTERDOCUMENTS~AI-AF-04