Laserfiche WebLink
~ ~ ~i <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: +Avalanchei reek Marble & Alabaster LLC ~~ <br />PERMIT NO.: /M-1999-04 ~~ ~~® <br />OPERATION NAME: White Banks Mine Jl~' ~~~~ <br />ANNIVERSARY DATE: January 4, 2007 ®f <br />ANNUAL FEE DUE; $$225.00 (Due on or before your anniversary date) ' <br />COUNTY: Pitkin <br />According to C.R.S. 34-32.5-1 ] 6 or C.R.S. 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 disnurbances 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 year and no <br />new chanties 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 suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Thomas L. Swint <br />Permittee Name: Avalanche Creek Marble & Alabaster LLC <br />Address: P.O. Box 277 <br />Palantine, II. 60078-0277 <br />~-~- N~ ,~ <br /> <br />Phone Number: (847) 358-3834 <br />Fax Number: (847) 776-2601 <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 />- afore of Co ra ffice Owner, or Designee <br />/~ ~L~ ~e d <br />Dates <br />.AipCOTATry,.AACTFDf VY`I IMFNTC/1.,_AFa1J. I%1C <br />