Laserfiche WebLink
~ ~~ ~ R~ <br />(~ ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: r and Cynthia L. Erker <br />Michael G. Erke <br />PERMIT NO.: / <br />M-1985-200 <br />OPERATION NAME: Kula Gravel Pit <br />ANNIVERSARY DATE: December 18, 2007 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Morgan <br />~~ ? ? ~~~~ <br />~•; , <br />~..,.iJ.::.::.~, ...~~ ~:....ij/y~, <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 vour revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. 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: Cynthia L. Erker <br />Permittee Name: Michael G. Erker and Cynthia L. Erker <br />Address: 2550 Winding River Dr. #M3 <br />Broomfield, CO 80020 <br />Phone Number: (303) 438-5777 <br />Fax Number: <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 />enclose . <br />Signatur of orporate O er, Owner, or Designee <br />/~ ~~ <br />Date <br />M:~PE RMIT~MASTERDOCUMENTSUv1-AF-04 <br />