Laserfiche WebLink
i <br />a <br />•~ ~.. .i <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY; <br />RECEi~.~ - ~ , <br />MAR25`-' <br />ANNUAL FEE and REPORT REQUEST <br />Division of Mineral ~ :- . "" <br />The Regents of the University of Colorado <br />M-1981-302 <br />Deepe Farm Pit <br />April 20, 2002 <br />$688.00 (Due on or before your anniversary date) <br />Boulder <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 operator <br />shall submit [he annual fee, a report and map showing the extent of current disturbances [o affected land, , <br />_. _reclamation-accomplished to dace-and-during-the preceding year,-new disturbances that are anticipated`to occur -~'- <br />during the upcoming year, reclamation that will be performed during [he coming yeaz, 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 report and annual report map to this 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: Jeffrey S. Lipton <br />Permittee Name: The Regents of the University of Colorado <br />Address: I?-6:-B oX59- <br />Boulder. CO 80309-0053 <br />Phone Number: (303) 492-2222 <br />Fax Number: <br />~`~ 483 <br />~o3r,a-.4_~~ <br />~c3~ q~ra - ~lBCP <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 />S' azure of rpora[e Officer or Owner <br />~- s/o Z <br />Date <br />M:~PERMn1MASTERD000MENTSU1-AF-O7 <br />