2006-07-10_REPORT - M1991147 - Laserfiche WebLink

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lit PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNNERSARY DATE: ANNUAL FEE DUE: COUNTY: P~t'~ '~ ANNiiAi, FF.F. and RF,PORT RF,niiF.ST `/ Belvedere Stone, LLC M-1991-147 Belvedere Stone Quarry July 16, 2006 RECEIVED vJUL 10 2006 vU~vision ~t Minerals and Geology $281.00 (Due on or before your anniversary date) Douglas - - - According to-C-R:S-34~-2.'S-1-KrorER~ - - _ , on-tlte-anrriroerstty-dirte-ofthe-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 yeaz, if any. Please attach ynnr revised written annnal rennrt and annual re0nrt m ~n to this form. The Annnal Report & Fee requirement is not met until we have received the following 3 components: fee,~nnrt and associated map (All 3 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 suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: William G. Joharmsen Permittee Name: Belvedere Stone, LLC Address: 2635 Steel Dr. Colorado Springs, CO' 80907 Pna,r~ -liq~s~r-`i9oo Phone Number:C~~(719) 471-939 Fax Number: ~lq -a oo ~' 1f you have additional comments and/or information that should be below or attach it to this form along with your written report and map. S~i/gnature of Coy~rate Officer, Owner, or Designee Date provided to the Division, please provide it Annual Report instructions are enclosed.