|
C~l'vl
<br />RECEf`/E®
<br />AIV IVIIAI. NN: N: ana KN:YUKf KNa U~ N_N~1~ ~ ~~
<br />CEE NAME: v /Bestway Paving Company '~Divisioo of Minarets aadr~
<br />NO.: i/ M-1977-315
<br />[ON NAME: Pit No. 1
<br />2SARY DATE: Apri123, 2006
<br />FEE DUE: $688.00 (Due on or before your anniversary date)
<br />': Weld
<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 />....,,.....»,..,.....,,,,,...r .......... ... ..».., ...... ,.,.....b ...., r.,,.,_.....b ~..»., ..., .. ...,,.»..,.....,.,,, ...,......, ......,,.r....,...., .....,...
<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 />ch xQnr revised written annnal report and annnal re nn rt mgp,tn this form. Please note that an
<br />Labeled map that clearly delineates and includes the above elements may suffice for a written report.
<br />isiori records indicate the following permittee contact information, Please verify and make any necessary
<br />Contact: Cazl V. Hi11
<br />Name: Bestway Paving Company
<br />~,__~ V1 GZ DY ..~ "r
<br />P. O. Box 336633
<br />Greeley, CO 80633
<br />Phone Number: (970) 353-1654
<br />Fax Nu I bar: (970) 353-5089
<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 />Owner, or Designee
<br />- O
<br />Date
<br />
|