2005-09-07_REPORT - M2001085 - Laserfiche WebLink

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24-AUG-2005 13:13 FROU-Colorado Divicion of Nineralc G Geolaor rt3036320106 T-412 P-002/002 F-606 ~}~,I - ~ l I " ~ p~~~cl^a:_u ~ vSEP 0 "< 2005 ~A""i r FFF and REPORT Ri:OIIFST '~ Division of Ninorals & Geolo6Y PERMffTE1; NAME: dams County RV ParIS LLC dba 124th Estates Partners "~ A / PERMIT NO.: i/(~4-2001-085 OPERATION NAME: 124th Estates Sand and Gravel Mine ANNIVERSARY DATE: Jolt' 25, 2005 ANNUAL FEE DUE: $66$.00 (Due oh or before your anniversary date) COUNTY: Adams According to C.R.S. 34-323-116 or C.RS. 34-32-116, each year, on the anniversary date of the perntiy an operator shall submit the amtual fee, a report and map showing the extrnt of cwrcnt disturbances to affiroted land, reclatrr4tion acwmp[ishai to date and during the preceding year, new disturbances that ere anticipated to accts during the upcoming year, reclamation that will be perfornted doming the coming year, the dates far the begirmin8 of active operations, and the date active operations ceased frn the year, if arty. p ~ P aMaeb yne vived written anneal report amt anneal rPm man in Chia form. Please note that an adequately labeled map that dearly delineates and includes the almve rlemeeus may s~ce~or a wnttete report. Division records indicate the following permittee conga infottttation. Please verify and make any necessary changes: Pcrntittee Comact: Dave Schuhejarm PetmitteeName: Adams County RV Par1S LLC dba 124th Estates Partners Address: 10201 Brighton Rd. Henderson, C0 80640 Phone Number: (303) 287-2721 Fax NurNfer: (303) 287-3153 it you have additiortai cotrmtents and/rn information that should be provided to the Division, please provide it below rn attach it to this form along with your written report and map. Armual Report instructions are enclosed. a~1L~ ~~-'P°-~''~- ~gneture of Crnpota~c Officer, Owner, or Designee Date