Laserfiche WebLink
<br /> <br />Phone Number: (719) 456-2223 <br />-- Fax Number: (719) 456-0375 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land; reatsmation accomplished-to date-and-during the-preceding-year,=new-disturbances that are arn;cipated-to---~- <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach y~ir revised written annual rennrt and annual re nrt m,~ to this form. please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Gary Pritchard <br />Permittee Name: Bent County <br />Address: P.O. Box 350 <br />Las Animas, CO 81054-0350 <br />DEC U i 2t;u~ <br />Division sf ffi:.crats F, Hsatapq <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 <br />enclosed. <br />Bent County <br />M-1992-113 <br />Verhoeff Pit No 2 <br />December 17, 2004 <br />$688.00 (Due on or before your anniversary date) <br />Bent <br />L'AIG <br />M:~PERMITMASTERD000MEMS\M-AF-04 <br />