Laserfiche WebLink
~ ~ R~ ~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />/Rick Hunt <br />1982-112 <br />Miller Gravel Pit <br />March 11, 2007 <br />~~:'G!F' i~ f 4Pf~,1~ <br />/P~ir~~ 0 !? pOf11 <br />~. ~ <br />/i. __.., <br />$$688.00 (Due on or before your anniversary date) <br />Elbert <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 />reclamation accomplished to date and during the preceding yeaz, new disturbances that are anticipated to occur <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 />Please attach your revised written annual reuort and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the urevious veer and no new chances to <br />the mrevious year's mau are necessary, then no new moo is required. provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rick Hunt <br />Permittee Name: Rick Hunt <br />Address: 43160 CR 17-21 <br />Elizabeth, CO 80107 <br />n .cv ,~-w1- L ~ ~ <br />~f',~P a.~e. ~~ <br />Phone Number: (303) 841-3970' ~ 3 -lv~lP- G~ 7 ~~/ <br />Fax Number: (303) 646-9233 <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 enclosed. <br /> <br />Signature of Corporate Officer, Owner, or Designee <br />Date <br />