Laserfiche WebLink
r9, <br />i !~' <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />~J <br />A-1yrTIJAL E and REPORT RE VEST <br />0 <br />rBaca County <br />i1GI-1993-088 <br />Gunkel Pit No 31 <br />March 7, 2008 <br /> <br />~~~ <br />DEB ~ <br />°~~°n °} ~ 82448 <br />~nn9 and Safot~~on. <br />$$791.00 (Due on or before your anniversary date) <br />Baca <br />_ _ __ According_to C.R`S. 34-32.5=1,16 or Cd3.S._~4.32-1.16, each year,--c~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 map. If no new disturbances or reclamation have occurred durinE 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: Glen R. Ausmus <br />Permittee Name: Baca County <br />Address: 741 Main St. <br />Springfield, CO 81073 <br />Phone Number: (719) 523-6532 <br />Fax Number: (719) 523-6584 <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 />i~G~-ice. ~Y • ~LGc,A-rvu-~-a-~ <br />Signature of Corporate Officer, Owner, or Designee <br />Date <br />M:~PERMIT~MASTERDOCUMENTSU~I-AF-04 <br />