Laserfiche WebLink
QID�I999I�QO�� <br /> ANNUAL FEE and REPORT REQUEST RECC'�1'co <br /> PERMITTEE NAME: Colorado Quarries, Inc. NOV 15 2099 <br /> PERMIT NO.: M-1977-144 Division of gginerals and Geology <br /> OPERATION NAME: Mica Lode <br /> ANNIVERSARY DATE: November 30, 2000 <br /> ANNUAL FEE DUE: $688.00(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 <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 vour revised written annual report and annual report map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Pennittee Contact: Bill Tezak <br /> Permittee Name: Colorado Quarries, Inc. <br /> Address: 270 S. 15th St. <br /> Canon City,CO 81212 <br /> Phone Number: (719) 275-6894 _ <br /> Fax Number: (714) 275-2131 <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 <br /> enclosed. <br /> �� 3) <br /> ignaS� ture of&rporate Officer or Owner <br /> I () - 15 — coo <br /> Date <br /> SIJO eew C hl�try�S 7 KrS �rfodYG <br /> M:TERM FnMASTERDOCUMENTS\M-AF-01 <br />