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REP47400
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REP47400
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Entry Properties
Last modified
8/25/2016 12:50:59 AM
Creation date
11/27/2007 12:02:09 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1986004
IBM Index Class Name
Report
Doc Date
2/28/2000
Doc Name
PN M1986004 BRANDSTAD ROCK PIT INADEQUATE REPORTING
From
DMG
To
HAROLD BRANDSTADT
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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i • <br />ANNUAL REPORT riFCEIV~~ <br />F E B 2 8 2000 <br />PERMITTEE NAME: Harold Brandstadt ~:.:.~~n of Minerals & Geology <br />PERMIT NO.: M1986004 <br />OPERATION NAME: Brandstadt Rock Pit <br />ANNIVERSARY DATE: 1/24/00 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Delta <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances [o affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation [hat will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the <br />year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that an adegualely labeled map tlrat clearly delineates and includes the above elements nrny <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: ~~~ro~d Q do/d STG~ <br />Address: .~ d </ d ~ 01 O Cc ~r <br />~~ ~fG . ~ olo • Y/~/i L <br />f Company: /3-adc~r/adz` ~OG K ,~l <br />Phone No.: (~10) 97y- !~/ S y <br />Fax No.: <br />If there are additional comments and/or information [hat should be provided to the Division, please <br />provide i[ on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />
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