Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />L & L Ready Mix <br />M-1998-059 <br />Sunny Dale Farm Pit <br />OCT 2 02003 <br />September 15, 2003 Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Phillips <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 [he annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, 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 ynnr revised written anneal rennrt and anneal red nr m ~n to this form- Please note [hat an <br />adequately Labeled map that clearly delineates and includes the above elements may suffice jor a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Laurine Koellner <br />Permittee.Name: L' & L Ri:ady;Mix <br />Address: P.O. Box 218 <br />Haxtun, CO 80731 <br />Phone Number: (970) 774-6114 <br />Fax Number: (970) 774-6114 <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 />Signature of Corporate Officer, Owner, or Designee <br />9-~ -d 3 <br />Date <br />~/~t° i9~f~CH (O <br />Clc -~ /ion 9 ~ ~~ `~ <br />RECEii/ED <br />M:~PERMnVdASTERD000MENTSUI-AF-01 <br />