Laserfiche WebLink
i~CA <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ ANNTiAT, FF.F, and RF.Pl7RT RF.Oi1F,ST <br />~/ Gary Boyce <br />~I-1985-085 <br />Rancho Rosado <br />April 17, 2006 <br />RECEi!®E~ <br />~~~APR12~ <br />l~Oiriaioa of Mharah and geologi <br />$688.00 (Due on or before your anniversary date) <br />Saguache <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 operator <br />shall submit the annual fee a report and map showing the extent of current_dicn,r__hanr_r_s. to affP~rP~ land,-- _- <br />- - reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annual report and annnal report man to this Fnrm_ Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Pennittee Contact: Gary C. Boyce <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Gary Boyce <br />17425 CR 66T <br />Moffat, CO 81143 <br />(719)256-4613 <br />(719)256-4318 <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 enclosed. <br />'I /~ T(~C ~/t~lClFD ~G 5 /~ Vo ~i i <br />i afar orate f£cer, Owner, or Designee <br />v /i? r n.t ~ ado S <br />/f7 /~l~Q/L ~ 2 0 0 <br />Date <br />