2007-04-19_REPORT - M1984028 - Laserfiche WebLink

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't~ i ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: Dave Direzza ~' ^ ~ n PERMIT NO.: /M-1984-028 r ~' „i„ ~ 9 2itD] OPERATION NAME: Direzza Pit ~ pi,, ;~, ANNIVERSARY DATE: May 1, 2007 "' y.,f 'Y ANNUAL FEE DUE: $$281.00 (Due on or before your anniversary date) COUNTY: Bent 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 reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the upcoming yeaz, 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 your revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred durinc the arevious vear and no new chances to the previous year's man are necessary. then no new moo is required, arovided that the Operator shall state this in the Annual Report. 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: Dolores DiRezza Permittee Name: Dave Direzza Address: 4815 Hwy 194 Las Animas, CO 81054-9411 Phone Number: (719) 456-2266 Fax Number: (719) 456-2266 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 O ~cer, O r, ignee a~~- 09-07 Date