2006-08-02_REPORT - M1999006 - Laserfiche WebLink

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rm~ PE1tMITTEE NAME: PERMTI' NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: ~/ ANNUAL FEE and REPORT REQUEST '~ /Sand Land, Inc. ~/ M-1999-006 RECEIVED '~AUG A Z 2006 `Division of Miaertlla and Geology Kurtz Resource Recovery & Land Devlpmnt Proj August 4, 2006 $688.00 (Due on or before your anniversary date) Weld 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 current disturbances to affected land, reclamafion-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 vour revised written annual report and annual reuort map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated maa (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 suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact Christopher L. Varra Permittee Name: Sand Land, Inc. Address: 8120 Gage St. Frederick, CO 80516 Phone Number: (303) 666-6657 Fax Number: (3) 666-6743 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this fo along with your written report and map. Annual Report instructions are enclosed. Signa re of Corporate Officer, Owner, or Designee 1 AllQUSt 2006 Date