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REP31432
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REP31432
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Entry Properties
Last modified
8/25/2016 12:07:33 AM
Creation date
11/27/2007 5:55:29 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1994077
IBM Index Class Name
Report
Doc Date
8/26/2002
Doc Name
2002 Annual Report
From
Washington County
To
DMG
Permit Index Doc Type
Annual Fee / Report
Media Type
D
Archive
No
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:, <br />r.~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Washington County <br />M-1994-077 <br />Nickell Gravel Pit <br />August 25, 2002 <br />RECEIVED <br />AUG 2 6 2002 <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Washington <br />According [o 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; areport-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 yeaz, if any. <br />Please attach vour revised written annual report and annual report man 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 permi[tee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Larry Champ <br />Permittee Name: Washington County <br />Address: 150 Ash <br />Akron, CO 80720 <br />Phone Number: ' (970) 345-2701 <br />Fax Number; (970) 345-2702 <br />If you have additional comments and/or information that should be provided to the Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report instmctions aze <br />enclosed. <br />ignat re of porate Offic r or Owner <br />Date <br />ANNUAL FEE and REPORT REQUEST <br />M:~PERMITMASTERDOCUMEMSU4-AF-04 <br />
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