2006-09-01_REPORT - M1981112 - Laserfiche WebLink

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~i;~ PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: / ANNUAL FEE and REPORT REQUEST Builders Aggregate Company, Inc. ~M-1981-112 Builders Aggr Pit September 1, 2006 RECEDED ~~~SEP 012006 /Division of Reclamation, Mining and Safety $281.00 (Due on or before your anniversary date) Morgan ql I 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 shall_submit_the_annual fee,_a_report and. map showing the_extent of cur[ent_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 resort and annual report maa to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map (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: James S. Miner Permittee Name: Builders Aggregate Company, Inc. Address: 915 W. Beaver Ave. Ft Morgan, CO 80701 Phone Number: (970) 867-6334 Fax Number: (970) 542-0832 [f 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.- nature of Corporate Office~~~r Designee ,~/ O G Date C'!z eG/,~ uJc?~ ~-Pmt-"c' ~~~ ~~. ~~~ ~ ~ .,~ ~~~ ~~ .