2008-02-13_REPORT - M1981275 - Laserfiche WebLink

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PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: AF ~- RPM ANNUAL FEE and REPORT RE UEST Diana K. Watson M-1981-275 / Stout -Amick Pit ~.~~~ FEB 122008 ~~ ~i~isian of ~ ~~ ~ dining March 5, 2008 $$791.00 (Due on or before your anniversary date) Rio Blanco 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, - -- - -reclamation-accomplished- to-date and during the preceding-year, -new~disturbances-that- are anticipated-to-occur- J - 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 your revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components• fee, report, and associated ma If no new disturbances or reclamation have occurred durins the previous year and no new changes to the previous vear's map are necessary, then no new map is required, provided that the Operator shall state this in the Annual Report. 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: Diana K. Watson Permittee Name: Diana K. Watson Address: P.O. Box 1056 Meeker, CO 81641 Phone Number: (970) 878-5898 Fax Number: (970) 878-4523 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 of Corporate Officer, Owner, or Designee Date