Laserfiche WebLink
'~ I <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />t~ <br />ANNUAL FEE and REPORT REQUEST <br />Gosney & Sons, Inc. <br />M-1987-038 <br />Bayfield Pit No. 1 <br />November 15, 2002 <br />RECEIVE <br />D <br />NOV 1 5 2^~a <br />Division of Minerc'. ;, -~ G,:~;ugg <br />$688.00 (Due on or before your anniversary date) <br />La Plata <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; areport-and map showing the -extent of wrrent disturbances to affected- land,- <br />- -` ieciamation accomplished-to date and during the"preceding year,-new distdibances 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 resort and annual report map to this form. Please note that 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 permi[[ee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Don Gosney <br />Permittee Name: Gosney & Sons, Inc. <br />Address: <br />Phone Number: <br />Fax Number: <br />6699 CR 521 <br />Bayfield, CO 81122 <br />(970)884-9533 <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 />Signature of Corporate Officer, caner, or Designee <br />~~ ~~ <br />Date <br />M:~PERMITMASTERDOCUMENTSVvI-AF-OI <br />