2007-10-29_REPORT - M2006028 - Laserfiche WebLink

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,4 ~ E ,~ P i ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: - Eldon & Cornelia Reynolds PERMIT NO.: ~M-2006-028 OPERATION NAME: Reynolds Pit ANNIVERSARY DATE: October 30, 2007 ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) COUNTY: Delta C~ RECFwEp -0~ 2 9 2~~~ D;vision of Reclamation, Mining and Safety shall submit the annual fee, a report and map showing the extent of current disturbances to affected Vland, 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 your revised written annual resort 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 vear's man are necessarv. then no new man is required. provided that the Operator shall state this in the Annual Report. 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: Eldon Reynolds Permittee Name: Eldon & Cornelia Reynolds Address: 691 Veinte Drive Phone Number: Fax Number; Delta, CO 81416 (970)874-9554 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. a ~~ ~ ~~~~ `S'ignature of Corporate O ~cer, Owner, or Designee D t~ ~