Laserfiche WebLink
~F ~~~~ <br />ANNUAL EE and RF',YORT R-;OiJEST <br />Pi•;RMfI'i'FE> NAME; <br />PL'KMTI' NO.: <br />OPERATION NAME: <br />ANNII•'IiRSARY DA'Pl: <br />ANNUAL PEE I)1.1i;: <br />COl'N'1'Y: <br />Bevrivay Paving Company <br />~M-1977-315 /^~ <br />Ptt Yo. 1 (J 0 <br />April 23, 20117 G ~1,~-d+' <br /> <br />~~~, w~~P <br /> ~~~ <br />~~°R <br /> ' ~ y <br />` <br />I <br />c ~~ 0 ';r <br />,t, <br />$.56118.00 (Oue on or before yonr annlvcrsary date} <br />Weld <br />_ According to_C.R.S. 3432.5_! 14 or C.R,S. 74_32-t 16, each year, nn the anniversary <late.of the perniit, an operatnc..... <br />~._. <br />shall submit the annual fee, a report and map showing the exccnt of curretu distutb:utces m atfeeted land, <br />reclamation accomplished to date and during the preceding year, new dishrrbances that are anticipated to occur <br />during the upcoming year, reclamation that wilt be performed during the coming year, [hc dates for the beginning <br />of active operations, and-the t1aU;-active operationscea.~xt far-the year,-if-any.---- - . - --- - <br />Please attach va}ir revised writtes annual resort anti nnuual report mau to this form. 'fhe Anneal Report <br />& Fee requirement Is nut met soul wo have received the following components: fee. reoor4 and avsociated <br />map. If uo nett dfs~grbances ar reclamation have occurred during the previous veer asd no new ehanaes to <br />ffiLe In the Annual 8epotx, Please Hate that nn adequately labeled map that dearly delineates and iucltedes the <br />above elements Wray shoe far a written report. <br />Division records indicate the fitilowing ptvmittee contact infortnatian. Please verify anJ tmtkc any necessary <br />chattges: <br />Permittce Contact; Car( V. Hilt <br />Yermittce Narne: t3estway Pavhtg Company <br />Address: P. O.13ox 336633 <br />Greeley, CO 80633 <br />Phone Number: ~4 <br />Cox Numlx~r: <br /> <br />If you have additional comments [pallor information that should be provided to the vivision, please provide it <br />below ar attach it w this ibrm along with your written report and map. Annual Rc7mrt instnx;tions arc enclosed. <br />Officer, Owner, or <br />d <br />Date <br />