Laserfiche WebLink
r~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />v ANNUAL FEE and REPORT REQUEST <br />~ Asphalt Constructors, Inc. <br />~ M-2001-069 <br />Del Norte West Valley Pit <br />November 5, 2006 <br />io-ZS-~ <br />RE~~p~~~D <br />'~ OCT 2 5 2Q06 <br />j/Division of Reclamation, <br />Mining and Safety <br />$688.00 (Due on or before your anniversary date) <br />Rio Grande <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 current 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 vour 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 />ma If no new disturbances or reclamation have occurred during the previous year and no new chances to <br />the arevious year's map are necessary, then no new man is required, arovided 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 elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Perminee Contact: Todd Stockebrand <br />Permittee Name: Asphalt Constructors, Inc. <br />Address: 7040 Hwy. 160 W. <br />Alamosa, CO 81101-8519 <br />Phone Number: (719) 589-6671 <br />Fax Number: (719) 589-0927 <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 />Signature of C orate Offcer, Own r, 08 r Designee <br />!o-r9 <br />Date <br />