Laserfiche WebLink
ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Webster Sand & Gravel <br />M-1981-235 <br />West Tennessee <br />Apri122, 2002 <br />$688.00 (Due on or before your anniversary date) <br />Lake <br /> <br />APR 19 20Q2 <br />Ofuhloa of Mianrala and 6eolop~ <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 [he annual fee, a report and map showing the extent of current disturbances to affected land, <br />--reclamation accoli~piished-to date-and dtiringthe'preceding year,-new disturbances tfiafa~e'ati[icip5ted fo 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 vour revised written annual resort and annual resort maa to this form. Please Wore that an <br />adequately labeled map that clearlq 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 Con[act-. Charles J. Webster <br />Permittee Name: Webster Sand & Gravel <br />Address: 145 S. Toledo Ave. <br />Leadville, CO 80461 <br />Phone Number: (719) 486-0427 <br />Fax Number: (719) 486-0427 <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 />~~ <br />Signature of C9 orate Officer or Owner <br />Date ~ ~~~~ - d~ - - .- <br />M:IPERMI7 VNASTERDOCUMENTSUI-AF-OI <br />