2007-10-16_REPORT - M1998071 - Laserfiche WebLink

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ANNUAL FEE and REPORT REQUEST PERMITTEENAME: Richard Fryrear RECEI~/CD C4 PERMITNO.: M-1998-071 C C O~ ~ 6 ZO~~ OPERATION NAME: Fryrear Gravel Pit Dlvlaion otReclamatlon ANNIVERSARY DATE: November 6, 2007 , Mlning and Safety ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) COUNTY: Yuma 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 ^llp ~hnwing_rhP PxrPnr of_cunent_distulltances to affected land. 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 report and annual report maa to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, resort, and associated map. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to the previous year's map are necessary, then no new map 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 since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Richard Fryrear Permittee Name: Richard Fryrear Address: 8085 CR 13 Haxtun, CO 80731 Phone Number: (970) 774-6551 Fax Number: If you have additional comments and/or information that should be provided to the Division, please provide it below or G'~-t/ to this form ong with your written report and map. Annual Report instructions are enclosed. a ignature of Corpovr/a/te facer, Owner, or Designee /o zUO2 Date