Laserfiche WebLink
~~~f <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Weaselsldn Corp. <br />M-1986-148 <br />Weaselskin <br />July 6, 2007 <br />IJUN ~ 8 2007 <br />Division ~, <br />Mini, , <br />_ _., <br />$$281.00 (Due on or before your anniversary date) <br />La Plata <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 operator <br />-shall-submit-the-~nmial-fce;~-report-and-map-showing-the-extent-af-can•ent-disturbanccs-to-affectcd-}and---- <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 your revised written annual reuort and annual resort moo to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred durinti the previous vear and no new chanties to <br />the previous year's map are necessary, then no new mau is required, urovided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. ~~ ~~~ t~~STU/L/3 A~-AGE? tJ(z R tC[_q M >-~77p~ <br />"T}~D~(_ O CU <br />Division records indicate the following permittee contact mforma~ion. ~ea"se verify and make any necessary <br />changes: <br />Permittee Contact: Beatrice F. Thurston <br />Permittee Name: Weaselskin Corp. <br />Address: 12995 U.S, Hwy. 550 <br />Durango, CO 81303 <br />Phone Number: (970) 247-9410 <br />Fax Number: (970) 247-9410 <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 enclosed. <br />Signature of Corporate Officer, Owner, or esignee <br /> <br />Date <br />