Laserfiche WebLink
<br />• X857 ~ ~G~SB~-° <br />ANNUAL FEE and REPORT REQUEST <br />PEFcMITTEE NAME: Va1co.Rocky Ford Div RECEIVED <br />PERMIT NO.: ~'i-" . JAN 19 2001 <br />OPERATION NAME: Rocky Ford South Pit Dirlslon of Minerals and Geaingy <br />ANNIVERSARY DATE: January Z5, 2001 <br />ANNUAL FEE DUE: $688.00 (Due o0 or before your anniversary date) <br />COUNTY: Otero <br />According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning 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 map to this form. Please note (hat an <br />adequate7v labeled map (hat clearly delineates and includes [he 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: Mac Shafer Wayne Adams <br />Permittee Name: Valco .Rocky Ford Div <br />Address: P.O. Box 550 <br />Rocky Ford, CO 81067 <br />Phone Number: (719) 254-7461 <br />Fax Number: (719) 254-7462 <br />Ifyou 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 />enc osed. <br />Signature of Corporate Officer or Owner <br />~- /8 -~/ <br />Date <br />.\ <br />M'.\PERM1"M1ASTERD000MENTSVvt-AF-01 <br />