Laserfiche WebLink
~w~y2_ <br />SSS <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COLTN i'Y: <br />ANNTiAT. FF.F. and RF.P(lRT RF,~TTF.ST Y <br />Montrose County <br />M-1983-148 / <br />Neal Pit <br />January 3Q, 2006 <br />JAS 1 3 2006 <br />/Oivision of L.. -.. .. ,,~~~,.5, <br />$688.00 (Due on or before your anniversary date) <br />Montrose <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, reclamafion 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 ariaeh~ n ~r revis d wriri n ann gal rppnrt and anneal re,~prt' main 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: Brian Wilson ~' <br />Permittee Name: Montrose County v <br />Address: 161 S. Townsend +i <br />Montrose, CO 81401 / <br />Phone Number: (970) 252-7000 v <br />Fax Number: (970) 252-7010 d <br />If you have additional comments and/or 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 />~s~~ <br />signature of Corporate Officer, Owner, or Designee <br />/oZ. ~t S' ~Z tip ,'~~ <br />Date <br />M:IPERMITIMASTERDOCUIvfENT51M-AF-O9 <br />