Laserfiche WebLink
<br />L'SC'i <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />/J2 ~Z <br />i~-~~ -c6 <br />~ Holcim (US) Inc. ~C~VlE~ <br />,/ M-1977-348 /~lH']' O <br />Boettcher Limestone Quarry ~tvision of Reciarrtan~ <br />Mining and Safety <br />October 10, 2006 <br />$688.00 (Due on or before your anniversary date) <br />Larimer <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 e~tent_of current_disturbances_to_affected_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 your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />man. If no new disturbances or reclamation have occurred during the previous vear and no new chanties to <br />the previous year's man are necessary. then no new man is required. provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suj~ce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact Gordon Benton <br />Permittee Name: Holcim (iJS) Inc. <br />Address: Project Manager <br />P.O. Box 1548 <br />La Porte, CO 80535 <br />Phone Number: (970) dR2 ~oFS ~~~ - p 3 s3 <br />Fax Number: (970)1182=13Y3-' n//~ <br />If you have add Tonal comments and/or information that should be provided to the Division, please provide it <br />below or attach/r~tg~this fogh along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />~D/3/ © ~ <br />Date <br />l/ <br />