Laserfiche WebLink
<br />RECEIVED <br />~iri, ~ 5 2003 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Rio Blanco County <br />M-2002-049 <br />Quinn Draw Gravel Pit <br />May 8, 2003 <br />$281.00 (Due on or before your anniversary date) <br />Rio Blanco <br />DiriBion oa "~^^r.!s and Geology. <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an _ __ <br />-- - -operaior-shall ;ubmit-the'annuat-f~~; a repo art-nd map showing the exteni of cuirent disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annual rennrt and anneal rennrt m ~n to this form- please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: S~ussen <br />Permittee Name: Rio Blanco County <br />Address: 254 <br />Ran$e13;-G9-8Ib48 <br />SERRV D• SrE:Et.t; <br />5r7U JF.GoND St~.~-r' <br />Maw t Co BIlo~'I <br />Phone Number: (~44 °170) FS'18 - 5 too I <br />Fax Number: (9~6;r 695~il l ~ ~17D~ .4'~£~ -.3391a <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 />Signa , e of Cor ate tcer, Owner, or Designee <br />- 28 - <br />Date <br />M1PERM ITVv1ASTER DOCUM ENTSVvI-AF-00 <br />