Laserfiche WebLink
<br /> <br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />David A. Lincoln <br />M-2001-038 <br />Bennett Sand & Gravel Pit #2 <br />August 6, 2003 <br />JUL 2 3 2003 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Adams <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 pemut, an operator <br />shall-submit the`annual~fee-a-report-and'map "showing the-extent of current disturbances to`affected-Land,-- - ' <br />reclamation accomplished to 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 ynnr revised written anneal re~nrt and anneal rennrt mkt to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: David A. Lincoln <br />Permittee Name: David A. Lincoln <br />Address: 50500 E. 72nd Ave. <br />_ _ _ Phone Number: <br />Fax Number: <br />Bennett, CO 80102 <br />(303).644-3030. _ <br />(303)644-4743 <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 Repor[ instructions are enclosed. <br />Officer, Owner, or Designee <br />Date <br />M:NERMITU~tASTERDOCUMENTSVv7-AF-01 <br /> <br />