2007-01-02_REPORT - M1990140 - Laserfiche WebLink

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AF~RPi PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNNERSARY DATE: ANNUAL FEE DUE: COUNTY: ANNUAL FEE and REPORT REQUEST 'Duran & Pearce Contractors, Inc. i/1~I-1990-140 Martin Pit 1-A December 18, 2006 REGEn~~D t/JAN 0 2 2991 D/iv:s"amgf~, / ~~~ $$281.00 (Due on or before your anniversary date) Moffat 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 curnent disturbances to affected land, 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 report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to the previous year's map are necessary, then no new map is required, provided that the Operator shall state this. in the Annual Report. Please note that an adequately labeled neap that clearly delineates and includes the above elements may since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Jim Duran Pennittee Name: Duran & Pearce Contractors, Inc Address: 504 Stock Dr. P.O. Box 1331 Craig, CO 81626 Phone Number: (970) 824-4014 Fax Number: If 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. J egnatur of Corpora fficer, Owner, or Designee Date