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REP36356
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REP36356
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Entry Properties
Last modified
8/25/2016 12:14:10 AM
Creation date
11/27/2007 7:25:35 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980014
IBM Index Class Name
Report
Doc Date
3/24/2000
Doc Name
112C ANNUAL FEE INVOICE AND REPORT REQUEST CONSTRUCTION MATERIALS OPERATION
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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n <br />u <br />ANNUAL REPORT <br />PERMITTEE NAME: Park County <br />PERMTI' NO.: M-1980-014 <br />OPERATION NAME: Eleven Mile Pit <br />ANNNERSARY DATE: April 1, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Park <br /> <br />REC~IVE[7 <br />MAR 2 4 2000 <br />~,iv,~~c~ a :'~Lre:a~a ~ Gaota9Y <br />According to C.R.5. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished [o date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />Please note drat an adequately labeled Wrap that clearly delineates and includes the above <br />elements may suffice jor a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: +So~e..-t L. 1~~<<, Company: iZmaa3r~~l~. <br />Address: r~OB /Y7 Phone No.: ( ?/ 5) 83c.- 4t:~ <br />ta, ~ 1a.. ('.c7 So'/~lo FAX No.: ( 'tt g l sra~- v2 ~s <br />If there are additional comments and/or information that should be provided [o the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />C]~ ~~ ~ <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:~PERM Il V.1 ASTERDOC U M ENTSNt-A F-U1 <br />
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