2006-09-21_REPORT - M2004028 - Laserfiche WebLink

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~ ~ PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: ANNUAL FEE and REPORT REQUEST Febbraro Construction Co. M-2004-028 The Broyles Pit September 21, 2006 $281.00 (Due on or before your anniversary date) Las Animas REG~I~~,Ep s~~ 2 ~ 2ous Division of Reclamation, Mining and Safefy According to C.R.S. 34-32.5-I 16 or C.R,S. 34-32-116, each year, on the anniversary date of the permit, an operator 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 renort and annual report maa to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, reooM, 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 ittcludes 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: Joseph Febbraro,Jr. Permittee Name: Febbraro Construction Co, Address: 2010 Santa-Fe Trail Trinidad, CO 81082 Phone Number: (719) 846-7789 Fax Number: (719) 846-6537 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 encl ~ u i~ inl G- ~d~~ ~~{ a~rr R~~~ ~,cjD~,c[C- 9-~-- d ~ ~e~ 06 a-tan~ Si ature Corpor to Officer, Owner, o esignee ~f~US/-~~L7 °~- Di-~~ ©~~`7~~ ~~~~ Date ~l~Gt~C-l ~ /v©~¢ ~CL~4u~~`i7aal 0