Laserfiche WebLink
ar-=~~r <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />' C/oulson Excavating Company, Inc. <br />'1VI-1985-026 <br />Challenger Pit <br />January 31, 2007 <br />$$688.00 (Due on or before your anniversary date) <br />Weld <br />w <br />~'~f' f'?~'?~./l~!~ <br />~B 0 5 2001 <br />Divisi n of Reclamation, <br />~~'ng and Safety <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances_to_affected..land,_ ~ _ <br />reclamation accomplished to date and during the preceding year, new disturbances that aze anticipated to occur <br />during the upcoming yeaz, 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 your revised written annual resort and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee. report. and associated <br />map. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Richazd Coulson <br />Permittee Name: Coulson Excavating Company, Inc. <br />Address: 3609 N. CR 13 <br />Loveland, CO 80538 <br />Phone Number: (970) 667-2178 <br />Fax Number: (970) 667-2193 <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 />All areas mined have been reclaimed. Mining of this pit is complete as planned, <br />top soil replacement is complete and all areas have been seeded. <br />Signature of Corporate fficer, Owner, or Designee <br />Diana Moneypenny, Secretary <br />January 31, 2007 <br />Date <br />