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REP35545
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REP35545
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Entry Properties
Last modified
8/25/2016 12:12:51 AM
Creation date
11/27/2007 7:09:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1990138
IBM Index Class Name
Report
Doc Date
1/12/2005
Doc Name
Annual Report and Fee
From
Fremont County
To
DMG
Permit Index Doc Type
Annual Fee / Report
Media Type
D
Archive
No
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~~ <br />I ~- <br /> <br />PERMITTEE NAME: Fremont County ~~ <br />PERMIT NO.: M-1990-138 ~~ . <br />OPERATION NAME: Stirrup Pit <br />ANNNERSARY DATE: January 20, 2005 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Fremont <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 />__ _ _ operator shall submit the annual fee, a report and map showing [he extent of current disturbances [o 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 ymm revised written anmial report and anm~al report mad to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Curtis Stone <br />Permittee Name: Fremont County <br />Address: Fremont County Commissioners <br />615 Macon Ave., Room #105 <br />Canon City, CO 81212 <br />Phone Number: (719) 276-7320 <br />Fax Number: (719) 275-7626 <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 />Signature of Co rate Officer, Owner, or Designee <br />!2/ ? ~o <br />Date <br />M:~PERMITMASTERDOCUMEMfSNr-AF-04 <br />
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