Laserfiche WebLink
999 <br /> ANNUAL FEE and REPORT REQUEST <br /> PERMITTEE NAME: First Bentonite Company Colorado IRECE�vED <br /> <6 <br /> PERMIT NO.: M-1977-231 Jul- <br /> OPERATION NAME: LBC Bentonite Pit <br /> of Minerals and Geology <br /> pivisisn <br /> ANNIVERSARY DATE: August 23,2001 <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <br /> COUNTY: Fremont <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 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 your revised written annual report and annual report may to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements rnav since for a written report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Robert WedigeU� -C,-.S�> <br /> Permittee Name: First Bentonite Company Colorado <br /> Address: 215 Teller St. <br /> 1 � <br /> Salida, CO 81201 <br /> Phone Number: (719) 539-4693 <br /> Fax Number: <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 C`" orporate Offlceh or Owner <br /> o�ty o\ <br /> Date <br /> MAPERMEWASTERDOCUMENTSW-AF-01 <br />