2007-07-26_REPORT - M1979131 - Laserfiche WebLink

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A~;'~PPT ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: rFred L Korinek PERMIT NO.: i1~I-1979-131 OPERATION NAME: Korinek S & G Pit ANNNERSARY DATE: ANNUAL FEE DUE: July 27, 2007 3~3 $$2>~0 (Due on or before your anniversary date) COUNTY; Crowley RECE4VED `~JUL 2 ~ 2001 pivision of ReclamaUOn, Mining and Safety 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 map showing the_extent of currerit 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, report, and associated mau. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to the previous year's map are necessary. then no new man 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 suffice for a written report, Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Fred L. Korinek Pennittee Name: Fred L Korinek 550 Lane 15 Address: Manzanola, CO 81058 Phone Number: (719) 254-7271 Fax Number: If you have additional comments andlor information that should be provided to the Division, please provide below or att hit to this fo along with your written report and map. Annual Report instructions are enclosed. ature o Corporate Officer, Owner, or Designee Date