2006-08-25_REPORT - M2002052 - Laserfiche WebLink

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cwt ~ ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: i//Western Equipment & Truck, Inc. RECFlVE~ PERMIT NO.: ~/ M-2002-052 ~ AUG 2 5 2006 OPERATION NAME: Two Rivers Rock ,/~Ivlelan of Reclematlon, ANNIVERSARY DATE: September 2, 2006 Mining and Satoty ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) COUNTY: Weld According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator shall submit the annual fee, a report and map showierthe extent_of current disturbances to affected land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach vour revised written annual report and annual resort map to this Form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report. and associated maa (All are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Craig Sparrow Permittee Name: Western Equipment & Truck, Inc. Address: 2055 1st Ave. Greeley, CO 80631 Phone Number: (970) 353-6682 Fax Number: (970) 352-7315 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. Signature of o orate/15~cer, Owner, or Designee ~~23- o~ Date