2007-09-14_REPORT - M1989092 - Laserfiche WebLink

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ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE ANNUAL FEE DUE: COUNTY: Oaklands Ranch M-1989-092 Oaklands Ranch October 26, 2007 $$323.00 (Due on or before your anniversary date) Douglas According_to-C.R.S..34-32.5-1,1.6-or_C.RS.-34-32-.1-16reach-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, 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 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, resort, and associated man. If no new disturbances or reclamation have occurred during the previous vear and no new chances to the previous year's moo are necessary, then no new moo 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: David Curtis Permittee Name: Oaklands Ranch Address: 1613 N. Perry Park Rd. Sedalia, CO 80135-8511 Phone Number: (303) 688-4285 Fax Number: (303) 688-7957 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. 9~t~s'+~~El~~" Signature of Corporate Officer, Owner, or Designee 9~3~0~ Date