Laserfiche WebLink
IMP-24-2007 OA:4TA11 FAOiFDIV RECLAIMTION PINING i SAFETY <br />3038320102 <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: f~~nlle Escondido <br />PERMIT NO.: r/ M-1991-133 <br />OPERATION NAME: Valdez Gravel Mine <br />ANNIVERSARY DATE: April 20, 2007 <br />ANNUAL FEE DUE: SSS0.00 (I)ne on or before yonr anniversary date) <br />COUNTY: Conejos <br />,~ .~ <br />. /~r,~ n ~,jf(~/ <br />Olhr/./rOn ^; rd =CI-~~ttl <br />fviining and Sam oq <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 penrrit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />Lmd, reclamaHan accomplished to date and during the preceding year, new disturbances that are antieipared to <br />occur during the upcoming year, reclamation that will be perforrtted during the corning year, the dares for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach war revised written annual report and annual report moo to this form. The Anaoal <br />Report & Fee regniremeat is not mat nntll we Gave received the following components: fee, report. and <br />Operator shad state this in the Annual Report. Please ante that an adequately labeled map that <br />delineates and includes the above elements may su,~cefor a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes; <br />Permittee Contact: Demetrio Valdez <br />Permitter Name: Valle Escondido <br />Address: P.O. Box 84 <br />Conejos, CO 8l 129 <br />Phone Number: (719) 3'76-2451 <br />Fax Number. (719) 376-2451 <br /> <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 are <br />enclosed. ~~ <br />~~ of Corporate Officer, Owner, or~ `~ vim- -~ <br />/Ian ~~. ~~7 <br />Hate <br />T-723 P.002/002 F-T50 <br />M:IPERMIiU1,UTERnOCUNENrSM-AROr.nOL <br />