Laserfiche WebLink
<br />• ANNUAL REPORT <br />PERMITTEE NAME: Colorado Sand & Gravel Company <br />PERMIT NO.: M-1980-110 <br />OPERATION NAME: Henderson Development <br />ANNIVERSARY DATE: September 9, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $688.00 <br />COUNTY: Adams <br /> <br />According to C.R.S. 34-32-I 16(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming yeaz, reclamation that will be performed during the coming year, the dates <br />for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised annual reuort maa and written reuort to this annual resort. Please <br />note that an adegrurtely labeled map that clearly delineates and includes the above elements may <br />suffice for a written report. <br />• <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: <br />if there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />Company:_ <br />Phone No.: <br />FAX No.:, <br />e-mail: <br />Signature of Corporate Officer, or Owner Date <br />C~ <br />J <br />INSTRUCTIONS ON BACK <br />