Laserfiche WebLink
.', ~~ T <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: ~ ljio Blanco County <br />PERMIT NO.: M-2002-049 <br />OPERATION NAME: Quinn Draw Gravel Pit <br />ANNNERSARY DATE: May 8, 2007 <br />ANNUAL FEE DUE: $$281.00 (Due on or before your anniversary date) <br />COiINTY: Rio Blanco <br /> <br />"° 17 ~0~77 <br />Dig?J.: , <br />,;,n <br />.',;y <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 <br />opeFator shaltsubmi['the'annual fcc; a-repent-and- mapshowin~the..extent of current disturbances to_affected _ <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach upon revised written annual report and annual report mao to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated mao. If no new disturbances or reclamation have occurred durinti the previous year and no <br />new chanties to the previous year's map are necessary.then no new mao is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately dabeled map that clearly <br />delineates and includes the above elements may since for a written report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: David P. Morlan <br />Permittee Name: Rio Blanco County <br />Address: 570 2nd St. <br /> Meeker, CO 81641 - - ' - - - -- <br />Phone Number: (970) 878-9590 <br />Fax Number: (970) 878-3396 <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 <br />enclosed. <br />~i^ µ~ <br />gnature of Corpy t fficer, Owner, or Designee <br />,s'~~7 <br />Date <br />M:~PEAMI'I~MASTERDDCUMEMS~hf-AF-04 <br />