Laserfiche WebLink
~ stn (~ <br />;j ANNTiAT, FF.F, and RF.PTIRT RF.OTiF,ST <br />PERMITTEE NAME: Asphalt Paving Company <br /> / <br />PERMIT NO.: 1/ M-1974-086 <br />OPERATION NAME: Ralston Quarry <br />ANNIVERSARY DATE: July 24, 2006 <br />ANNUAL FEE DUE: $550.00 (Due on or before your anniversary date) <br />COUNTY: Jefferson <br />RECEIVED <br />~AUG 14 2006 <br />Division of ReGamation, <br />Mining and Safety <br />According to G.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current 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 anm~al re~nrt main to fhic form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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: Greg Geryanoff <br />Permittee Name: Asphalt Paving Company <br />Address: 14802 W. 44th Ave. <br />Golden, CO 80403 <br />Phone.Number: (303) 279-6611 <br />Fax Number: (303) 279-6216 <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 />~v <br />Signature of Corporate Officer, Owner, or Designee <br />~~ <br />Egg-a~ <br />Date <br />M:IPERMITMASTERDOCUMENTS/M-AF-02.DOC <br />i.cJ <br />