Laserfiche WebLink
~~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Logan County <br />M-1993-069 <br />Lindstrom Gravel Pit <br />November 26, 2004 <br />$281.00 (Due on or before your anniversary date) <br />Logan <br />~~~ <br /> <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, reclamation:accomplished.to.date.and-during-the preceding-year,-new-disturbances-that are anticipated 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 ynnr revised written anneal re¢prt and anm~al rennrt m ~n to this form. please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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: Byron D. Hickox <br />Permittee Name: <br />Address: <br />Logan County <br />315 Main St., Ste. 2 <br />Sterling, CO 80751 <br />Phone Number: (970) 522-7879 <br />Fax Number: (970) 522-401,8_ <br />If you have additional comments andlor 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 />~.~~~ <br />Signature Corporate Offi ,Owner, or Designee <br />!a/ag~ ~ <br />Date ~ <br />M:~PERMI'MIASTERDOCUMENTSUI-AF-04 <br />