Laserfiche WebLink
.:;:. - _ 111 IIIIIIIIIIIff III <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Morgan Sand and Gravel <br />M-1977-094 <br />Westhoff Pit <br />December 20, 2001 <br />RECEIVED <br />DEC 2 7 2001 <br />Division o! Minerals nnll Ceolog;. <br />$688.00 (Due on or before your anniversary date) <br />Morgan <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 16, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished [o date and during the preceding year, new disturbances that are anticipated io 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 vour revised written annual report and annual report map to this form. Please note tJlor an <br />adequately labeled map that clearly delineates and includes the above elements tray since for a K~ritten report. <br />Division records indicate the following pertnittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Gary Westhoff <br />Permittee Name: Morgan Sand and Gravel <br />Address: P.O. Box 1443 <br />Ft Morgan, CO 80701 <br />Phone Number: (970) 867-8074 <br />Fax Number: 1970) 867-R074 <br />If you have additional comments and/or information [hat should be provided to the Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Repott instructions are enclosed. <br />Si re o orporate Offic caner <br />Date <br />M.~PER M ITVN ASTER DOCUA1EPa'S~hi. AF01 <br />