2006-08-11_REPORT - M1977036 - Laserfiche WebLink

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rn~l t~ PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: ANNUAL FEE and REPORT REQUEST ~ Lafarge West, Inc. ~M-1977-036 Greeley 35th Ave Pit August 15, 2006 t'~`~Z. RECE~ VED ,~ AUG 112006 "ie~'lonofReclam~tion 9 and Sa $688.00 (Due on or before your anniversary date) Weld According to C.R.S. 34-32.5-I 16 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 current-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 yeaz, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach vour revised written annual resort and annual report man to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, resort, and associated map (All are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Mark A. Vigil Permittee Name: Lafarge West, Inc. Address: 10170 Church Ranch Way, Suite 200 Westminster, CO 80021 Phone Number: (303) 657-4330 v~a - ~A~1- ~'~~ `~ Fax Number: (303) 657-4037 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. Signature ofCorporate Officer, Owner, or Designee -~_-~~T_~~n Date