Laserfiche WebLink
rs <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Morgan Couuty <br />M-1985-200 <br />Kula Gravel Pit <br />December 18, 2004 <br />Division ~f Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Morgan <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 your revised written annnal report and anmial re,Pnrt mar to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Joe B. Baltazar <br />Permittee Name: Morgan County <br />Address: 17303 CR S <br />Fort Morgan, CO 80701 <br />Phone Number: (970) 542-3560 <br />Fax Number: (970) 542-3569 <br />~N~ <br />RECEIVEC~ <br />DEC 0 9 200' <br />~~ <br />X03 ~3R~~'z?~ <br /> <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 />or uesrgnee <br />~. ~~i~~ <br />M:~PERMI7U1AS7EADOCUMEMS\M-AF-04 <br />