Laserfiche WebLink
~ ~~~ <br />ANNiTAi. FF,F, and RF,PORT RF~QiiFST <br />PERMTTTEE NAME: L.G. Everist, Inc. V"v' <br />PERMIT NO.: ~~I-2001-017 /~EP 2 0 2005 <br />OPERATION NAME: Lohmann Sand and Gravel Mine ~'n <br />ANNNERSARY DATE: September 19, 2005' "~ {~G <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Weld <br />k~S <br />P:ccording~t6 C:R:S-34=32.5=1-16'or'C:IrSr34=32=1'16; each year, on the anniversary date of the permit, an operator <br />shall 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 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 ym~r revised written annual red nrt and annual rennrt main to this form. Please note [hat an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Lynn Mayer <br />Permittee Name: L.G. Everist, Inc. <br />Address: 7321 E. 88th Ave. Ste. 200 <br /> Henderson, CO 80640 <br />Phone Numbe% (303) 287-4655 ~ - -- ~ - -~ -- ~~ <br />Fax Number: (303) 289-1348 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Officer, Owner, or Designee <br /> <br />Date <br />