Laserfiche WebLink
<br />Phone Number: (719) 942-4332 <br />Fax Number: (7l9) 276-7321 <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 Corporate Of4('wner, or esignec <br />Date <br />Mar 12 07 01:57p <br />FREMONT COUNTY <br />7192767321 <br />v ; D ~-wl ~ <br />~~ ~ ~P~ <br />ANNUM. FEE and REPORT REQUEST <br />PER~IIT"CI;E NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUG: <br />COUNTY: <br />Fremont County <br />/ 1vI-2001-087 <br />Indian Springs Park Pit <br />February 11,2007 <br />$$688.00 (Due on or before your anniversary date) <br />Fremont <br />'~J <br />p.3 <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I16, each year, on the anniversary date of the permit, an <br />operator shall submit the annual tee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished tc date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed dwing 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 your revised written anoual report and annual report map to this form. The Annual <br />Report & Fee requirement is oot met until we have received the following components: fee, report, and <br />associated map. If no new dish~rbances or reclamation have occurred during the arevious year and no <br />new chances to the previous year's man are necessary, then no new mao is required, provided that the <br />Oaerator shall state this in the Annual Report. Please note that an adequttdely labeled rnap 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: Paul Garrett <br />permittee Name: Fremont County <br />Address: 615 Macon Ave., Room 105 <br />Canon City, CO 81212 <br />