Laserfiche WebLink
.+. <br />/~j~Pi <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />/Nuvemco, LLC <br />~VI-1977-293 <br />Monogram-Jo Dandy <br />November 27, 2007 <br />~~~~~® <br />~V 2 3 2007 <br />iii on of Reclamation, <br />Mining and Safety <br />$$259.00 (Due on or before your anniversary date) <br />Montrose <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 />---- - - - --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 your revised written annual report and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated man. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Henry Carter <br />Permittee Name: Nuvemco, LLC <br />Address: 10771-3200 Rd <br />Hotchkiss, CO 81419 <br />Phone Number: (970) 872-3247 <br />Fax Number: /nj7 ~~ ~7-Z _ ~ ! Z Z <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 />Signature ofj(~orporate Officer, Owner, or Designee <br />ll- / Svv- ~00'~ <br />Date <br />M: ~PERMI T~Iv1ASTERDOCUMENTS/M-AF-02. DOC <br />