2006-08-25_REPORT - M2004029 - Laserfiche WebLink

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~~ ~~ '~ ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: L /AZCO Construction, Inc. RECEI ~! ED PERMIT NO.: e/ M-2004-029 `~ AUG 2 5 2006 OPERATION NAME: AZCO Pit t/6ivision of ReGamation, Mining and Safety ANNIVERSARY DATE: September 24, 2006 ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) COUNTY: Fremont According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-1 I6, each year, on the anniversary date of the permit, an operator shall submit the annual fee, a report and map showing the_e~stent_of current disturbances to_ affecte_d 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 resort and annual report maa to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, resort, 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 suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Ronald E. Walker Permittee Name: AZCO Construction, Inc. Address: 2055 US Highway 50 Penrose, CO 81240 Phone Number: (719) 372-6872 Fax Number: (719) 372-0418 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. Si ~atur of Corporate Officer, Owner, or Designee ~.~/~ CO Date