2003-01-14_REPORT - M1985135

• Permit No: M1985135
• IBM Index Class Name: Report
• Doc Date: 1/14/2003
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME: Larimer County RECEIVED
PERMIT NO.: M-1985-135
OPERATION NAME: Horton Gravel Pit JAN t 4 2003
ANNNERSARY DATE: January 31, 2003 Division ~f Minerals and Geology
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Larimer
According [o 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 shall submit 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, [he dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach ynnr revised written annual red nrt and anneal rennrt m~ to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Dennis C. Morrison
Permittee Name:
Address:
Larimer County
P.O. Box 1190
Fort Collins, CO 80522
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information [hat should be provided to the Division, please provide it
below or attach it to [his form along with your written report and map. Annual Report instructions are
enclosed.
Signatur of C orate Officer, Owner, or Designee
~~0~
Date
M:~PERMrnMASTERD000MENTSNI-AF-04