Laserfiche WebLink
.: .-' r, <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNiJAL FEE DUE: <br />COUNTY: <br />1 <br />~F~ ~P~ <br />ANNUAL FE and REPORT REQUEST <br />Montrose County <br />~M-1983-208 <br />Shavano Pit <br />March 7, 2008 <br />`~~ <br />~9 <br />FEa ~p <br />®ivrsao 2 ~ 208 <br />n °t Re <br />MiR;n9 and Sa ety~on, <br />$$791.00 (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. anniversarx 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 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: Brian W. Wilson <br />Permittee Name: Montrose County <br />Address: 161 S Townsend Ave <br />Montrose, CO 81401 <br />Phone Number: (970) 252-7000 <br />Fax Number: (970) 252-7010 <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 />osed. .~ ~' <br />1 ~ <br />-- - - - <br />afore of Corporate Officer, Owner, or Designee <br />S d <br />Date <br />M:~PERMIT~IvIASTERDOCUMENTS~M-AF-04 <br />