2007-10-11_REPORT - M1987074 - Laserfiche WebLink

Home Browse Search

P~~ ~ PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: ANNUAL FEE and REPOFRyT REQUEST Mayne Industries, Inc/ M-1987-074 Dotsero Quarry October 9, 2007 RECEivE®-/ ~~~~ v OIVIil9tl q/(~'@~8~~®fl MIflIR~ 9fld ~6~g{r ~ ~/ $$791.00 (Due on or before your anniversary date) Eagle According to C.R.S. 34-32.5-i 16 or C.R.S. 34-32-ll 6,_each_year, on the anniversat3~. date of the permit, an-operator shall submit the annual fee, a report and map showing the extent of can-ent disturbances to affected land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the upcoming year, reclamation that will be-performed during the coming yearrthe~dates for-the=beginn ng- ofactive operations, and the date active operations ceased for the year, if any. Please attach roar revised written annual resort and annual resort mao to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred durinc the nrevious year and no new chances to the previous rear's mao are necessary, then no new mao is required, urovided that the Oaerator shall state this in the Annual Report. 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: Gerry A. Mayne Permittee Name: Mayne Industries, Inc Address: P.O. Box 1689 Gypsum, CO 81637 Phone Number: (970) 524-7733 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~.`brporate Officer, Owner, or Designee Date