2006-08-10_REPORT - M1977231 - Laserfiche WebLink

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~rn /~ ~ ANNUAL FEE and REPORT REpUEST PERMTI"TEE NAME: ~/First Bentonite Company Colorado RECEIVED PERMIT NO / M 1977 231 .: ~ - - ~ AUG 10 2006 OPERATION NAME: LBC Bentonite Pit /Division of R ANNNERSARY DATE: August 23, 2006 ecla Minin m~on, 9 and Sate ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) COUNTY; Fremont 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 - -shall submit-the-annual-fee,,-a-report-and-map-showing-the extent-of current disturbances to-affected-land; reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the upcoming yeaz, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach your revised written annual report and annual resort map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee. report, and associated mau (All are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Pamela Wedige Permittee Name: First Bentonite Company Colorado Address: 215 Teller St. Salida, CO 81201 Phone Number: (719) 539-4693 Fax Number: If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. Signature of Corporate Officer,` r, or Designee' ~? \~ Cr1~ I o 4~ I ~n~, Date ~ ~ -~_