Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />,/ ANNUAL FEE and REPORT REQUEST <br />t/ Dorn Ready-Mix Corp <br />t~M-1974-092 <br />Barlow Pit <br />October 31, 2006 <br />n~~ <br />f~,o~h <br />~ECF~ED <br />'~SEP a ~ ~nn6 <br />wislon of <br />Mining end Sa e~ on, <br />$688.00 (Due on or bet'ore your anniversary date) <br />Morgan <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 operator <br />shall submit_the annual fee~a report and map_showing the extent of curent disturbances .to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new chances to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above eletnents may since for u written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Doug Dowling <br />Permittee Name: Dom Ready-Mix Corp <br />Address: 19671 Rd R 7 <br />P.O. Box 636 <br />For[ Morgan, CO 8070! <br />Phone Number: (970) 867-2968 <br />Fax Number: (970) 867-7443 <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 enclosed. <br />~~~ <br />Signa a of Co orate Officer~wner, or Designee <br />Dat 2(O~ <br />