Laserfiche WebLink
14 <br /> ' ANNUAL FEE and REPORT REQUEST RECEIVED <br /> M't y 0 12001 <br /> PERMITTEE NAME: Tiger Timber, Inc. Division of Minerals and Geology <br /> PERMIT NO.: M-1991-082 <br /> OPERATION NAME: Tiger Timber Site <br /> ANNIVERSARY DATE: March 17,2001 <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <br /> COUNTY: Teller <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 a;a anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coining year, the dates for the <br /> beginning of active operations,and the date active operations ceased for the year, if any. <br /> Please atiach your revised written annual report and annual report map tolthis form. Please note that an <br /> adequately labeled Wrap 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 makt: any necessary <br /> changes: <br /> Permittee Contact: Frank Laughrey <br /> Permittee Name: Tiger Timber, Inc. <br /> Address: P.O. Box 128 <br /> Lake George,CO 80827 <br /> Phone Number: (719) 748-3621 <br /> Fax Number: <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 /> Signature of Co ereteOf icer or Owner <br /> 6,..,/ -3 o a OD( <br /> Date <br /> M:NERMIPMASTERDOCUNfl:NTS N-AF-01 <br />