Laserfiche WebLink
<br /> <br />ANNUAL REPORT <br />PERMITTEE NAME: Kit ('arson County <br />PERMIT NO.: M-82-079 <br />OPERATION NAME: Brenner Pit* <br />ANNIVERSARY DATE: June 24, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Kit Carson <br />• ~II IIIII~IIII~~~ II~ <br />999 <br />/GN~cF~~~cO <br />~h~040f'~; 081899 <br />~~~$C~ <br />~l' <br />~'d 111 <br />According to C.R.S. 34-32-116~3)(a), 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 <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that aze anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual resort man and written resort to this <br />annual report. Please note tha! an adequately labeled Wrap thnt clearly delineates and <br />includes the above elements may snfflce fnr a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: L' CQ <br />Address: k~0 D~ ~~ ~Q~ <br />..v1 rI VZS~I ~-~ c~8$b~ <br />~~ <br />Company: <br />Phone No.: (~ ~ C/) ~~~- g~~ C'/ <br />Fax No.: (`11 G) ~~P(v - 7a~~ <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report fotm along with your map and/or <br />written report. <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />