Laserfiche WebLink
l~- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNUAL FEE and REPORT REQUEST <br />Caldwell Brothers <br />M-1986-016 <br />Caldwell Brothers 3 <br />ANNNERSARY DATE: June 1, 2002 <br />RECEIVED <br />JUN 0 3 2002 <br />Division of Minerais and Geology <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Otero <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of [he permit, an operator <br />__ shall .submit theannual fee,-a-report-and-map showfng the extent of current-distmfiance~[ti afPec[ed-tand;- -- <br />reclamation accomplished [o date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report maa to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may s~ce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Wayne Caldwell <br />Permittee Name: Caldwell Brothers <br />ttia,5e o~ ~ <br />Address: X26333-ffwy~T ~ d dress <br />Rocky Ford, CO 8]067 <br />a5aa~ Rdt 19 <br />Goa. Q n <br />Phone Number: (719) 384-5256 ~ ~ ~l 9 - d5~f - 3a / o <br />Fax Number: <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 llr/Ieport aDn~d map. Annual Report instruc~¢~~L ~ sed. <br />Sign ture of Corporate Officer or Owner n~u ^•v^r ~~~<r-f ir~v ~L!"'~Q ..fie ~4~-~'~~' <br />Date /J,~.~-,.,,~aE? /C~.:~t ,~~d- "~ ~.,-" <br />~cc'ti.~-'mac ~~~a~°~fi~""~ ~ .~ 'r^~""'.,"~ <br />~e-r2~.~~rrw ~ -ire ~9usP~ub- - <br />M:(FERMI"IIMASTERDOCUMENTS~M-AF-OI ~~k ^~~ ~/ <br />