2006-06-13_REPORT - M2002068 - Laserfiche WebLink

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-~1.5 PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: ANNiiAI. FF.F. and REPORT RF.OiTF.ST Rick Ensminger ~M-2002-068 Ensminger Pit July 29, 2006 RECEO~E~ ~~ JUN 13 2006 vDivision at Minerals end peel®®f $281.00 (Due on or before your anniversary date) Phillips 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 _ -shall-submit-the`annuai~fee;'a=report and' map'showing`the`ex~t' of ourrent rstur anoes to`a`fteoYe3- ant d, 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 ymrr revised written anneal report and anneal red nrt maT M thic form The Annual Report & Fee requirement is not met until we have received the following 3 components: fee, renn ,and acsnciated map (All 3 are required regardless of the level of disturbance or absence of disturbance during the previous year). 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: Permittee Name: Rick Ensminger Rick Ensminger Address: 3500 Hwy. 6 Box 276 Phone Number: Fax Number: (970)774-6108 (970)774-6133 U 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. Signature of Corporate Officer, Owner, r Designee Date