Laserfiche WebLink
N~ 01~- <br />~~ <br />ANNiiAi. FF.F. and REPt1RT RF.OLTF.ST RECEIVED <br />PERMITTEE NAME: Weld County FEB 2 0 2004 <br />PERMIT NO.: M-1980-121 '/ Division of Minerals & GeolopY <br />OPERATION NAME: Pierce Pit <br />ANNIVERSARY DATE: March 1, 2004 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Weld <br />According to C.R.S. 34-32.5-116 or C.R.5. 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 are anticipated to <br />occur during the upcoming year,-reclamation-that-will-be-performed_during_the_coming_y_ear,_ the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. ____ <br />Please attachynur revised written annnal report and anm~al re~nrf maT to Chic form. please note that an <br />adequately labeled map 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 make any necessary <br />changes: <br />Permittee Contact: <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Greg Nelson <br />Weld County <br />1111 H. St <br />P.O. Box 758 <br />Greeley, CO 80632 <br />(970)356-4000 <br />(970)304-6497 <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 & orporate Officer, Owner, or Designee <br />~2 /g„~~ <br />Date ~ <br />M: WERMI i1MAS7ERD000MENTS~h1-AF-09 <br />