2006-10-20_REPORT - M1978271 - Laserfiche WebLink

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.y re o PERMITTEE NAME: / Asphalt Gravel Products, Inc. REC~!!:/~® PERMIT NO.: ~ M-1978-271 v ~~T 2 0 ZQ~S ~~ OPERATION NAME: (/Garrett Pit Division of Reclamation, Mining and Safety ANNIVERSARY DATE: October 30, 2006 ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) COUNTY: Conejos 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 shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, during the upcoming year, reclamation that will be performed during the coming yeaz, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach your revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated man. If no new disturbances or reclamation have occurred during the previous year and no new chances to the previous year's map are necessary, then no new man is required, provided that the Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following pennittee contact information. Please verify and make any necessary changes: Permittee Contact: Rock I. Southway Permittee Name: Asphalt Gravel Products, Inc. Address: 117 White Pine Dr. Alamosa, CO 81101 Phone Number: (719) 589-5103 Fax Number: (719) 589-5522 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 enclosed. L Signature of Corporate Offi r, Owner, or Designee m~Z. /0~18'~©0 Date