Laserfiche WebLink
<br />~~~Gf~9~l~© <br />PIOV 2 5 2003 <br />pivision of Minerals end GeolegY <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Colorado Quarries, Inc. <br />M-1982-200 <br />Red Jasper Granite <br />November 19, 2003 <br />$281.00 (Due on or before your anniversary date) <br />Teller <br />_ According to C_R.S._34-32.5-I 16 or C.R.S. 34-32-1.16, 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 disturb`ances~fo affecied land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to 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 ymn• revised written annual reRprt and ann rah 1 rr nn rt maw to thin 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: Bill Tezak <br />Permittee Name: Colorado Quarries, Inc. <br />Address: 270 S. 15th St. <br />Canon City, CO 81212 <br />Phone Number-:----(719)-275-6894-r - __ , _ ____ _ _ _ _ _ _ _ <br />Fax Number: (719) 275-2131 <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 enclosed. <br />Signature of Co orate Officer, Owner, or Designee <br />No Ncw ~~~iy~s ~ht~ <br />y~~ <br />