Laserfiche WebLink
ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Roaring Fork Resources, Inc. <br />M-2000-113 <br />Mamm Creek Sand & Gravel <br />October 29, 2002 <br /> <br />OCT 1 1 2001 <br />Division of Minerals and Gealagy <br />$688.00 (Due on or before your anniversary date) <br />Ga~eld <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 [he preceding year, new disturbances that are anticipated [o 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 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 report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Dick Stephenson <br />Permittee Name: Roaring Fork Resources, Inc. <br />Address: y. <br />Carbondale, CO 81623 <br />Phone Number. ro~p~ 9r;z-- ~--~ q7U q~ 3- 3a 9S" <br />.. <br />-Fax Number: - ""~ '°----'~`~f~--~~9:t~`'°~~~Y------- <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach i[ to this form along with your written report and map. Annual Report instructions are enclosed. <br />Sig azure of Corporate Officer, Owner, or Designee <br />~°f~/ <br />Date <br />~O, l3c~x I~2c'~ <br />M iPERMI'1'N1 ASTERDOCUM ENTS~hI-AF-01 <br />