Laserfiche WebLink
<br />ANNUAL FEE and REPORT REOUESTI JJ l , ~ ~ 6 <br />I, "\ <br />PERMITTEE NAME: Moffat County u <br />PERMIT NO.; M-1998-047 P~^~~~~ <br />OPERATION NAME: Mantle Pit #3 AUG 312001 <br />ANNNERSARY DATE: September 9, 2007 pivision of Reclamation, <br />Mining.and Safety <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Moffat <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 shah 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 vour revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components; fee, report, and <br />associated map. If no new disturbances or reclamation have occurred durin¢ the previous vear and no <br />new chances to the previous year's map are necessary. then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Billy Mack <br />Permittee Name: Moffat County <br />Address: P.O. Box 667 <br />Phone Number: <br />Fax Number: <br />Craig, CO 81626 <br />(970) 823-3211 <br />(970}824-0356 <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 f orporat~ff~ er, or Designee <br />g- a.'2 -0 7 <br />Date <br />M:~PERMITU.IASTERD000MENTS~M-AF-04 <br />