2006-08-03_REPORT - M2001052 - Laserfiche WebLink

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,~~~ PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNPJERSARY DATE: ANNUAL FEE DUE: COUNTY: t/ ANNUAL FEE and REPORT REQUEST /,Grasser Construction, Inc. M-2001-052 McCormick Pit RECE~°~E® ~AUG 8 3 2U06 ~IYI®lOn of Minerals and Geology August 2, 2006 $688.00 (Due on or before your anniversary date) Kit Carson According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator shall submit-the-annual-fee,-a-report-and-map -showing-the-extent-of current disturbances to affected land, 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 vour 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 (All 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 since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Jim McCormick Permittee Name: Grasser Construction, Inc. Address: 18071 CR 31 Stratton, CO 80836 Phone Number: (719) 348-5383 Fax Number: (719) 348-5931 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. ' afore of Corporate Officer, Owr er, or Designee - Z~/-~ O L Date