Laserfiche WebLink
~~ <br />'~ ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />/ TWK Enterprizes Inc <br />V M-1988-090 <br />Deer Trail Pit <br />December 7, 2006 <br />~° . ; -. <br />~~11'~ J 2 j 2~~~ <br />~ Division of Reclamation, <br />Mining and Safety <br />$$688.00 (Due on or before your anniversary date) <br />Arapahoe <br />~~~ <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, 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 />rec amahon accomplishe to date and during the preceding yeaz, 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 vour revised written annual report and annual resort mau to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report. and associated <br />mag. If no new disturbances or reclamation have occurred during the previous vear and no new chances to <br />the arevious 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 clearly delineates and includes the <br />above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: ~yne Pipkt <br />~~ ~// <br />Pennittee Name: TWK Enterprizes Inc _ <br />Address: P.O. Box 404 <br />Phone Number: <br />Fax Number: <br />Byers, CO 80103 <br />(303)622-9491 <br />(303) 622-9553 <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 aze enclosed. <br />-~-^~,J~"~' c <br />Signature of C porate Officer, Owner, o esignee <br />-Q -div <br />Date <br />