Laserfiche WebLink
r <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />PF ~ RPM <br />ANNUAL FEE and REPORT REQUEST <br />Neil's Excavation <br />M-1980-143 <br />Texas Creek Grav Pit <br />October 27, 2007 <br />$$323.00 (Due on or before your anniversary date) <br />La Plata <br />RECFrv~~ / <br />~~ 292001 / <br />Division of Reclamation <br />M~mn9 and Safety <br />Q~rording-to_G.R.S.34-'t~ 5_t 76 nr [LR.S ~4,32J16~eaoh_y?nr_, nn the annivensa>Xdate_o£Yhe~~rmi[ an operator __ <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected ]and, <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 your revised written annual resort and annual reuort man to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />mau. If no new disturbances or reclamation have occurred during the previous vear and no new chanties to <br />the urevious year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that c/early 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 />Permittee Contact: Bruce E. Neil <br />Permittee Name: Neil's Excavation <br />Address: 486 CR 515 <br />Ignacio, CO 81137 <br />Phone Number: (970) 884-2290 <br />Fax Number: (970) 884-1000 <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 />~~ ~~ P~~ S . ~ew~ <br />Signature of Corporate Officer, Owner, or Designee <br />~0~2 5~i~7 <br />Dat~ <br />