Laserfiche WebLink
~~ ~- ~`~~ <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 />/~;,e.. <br />Grand County <br />M-1984-156 <br />Grand Cnty No 201 aka Scholl Gravel Pit <br />May 29, 2008 <br />~~~~~~ <br />PR ~ g Z00~ ~ <br />Q ~ eclarnat-on, <br />pivision o' `~ Safety <br />Mining and <br />$$791.00 (Due on or before your anniversary date) <br />Grand <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 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 since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Ken Haynes <br />Permittee Name: Grand County <br />Address: 467 E. Topaz Ave. <br />P.O. BOX 9 <br />Granby, CO 80446 <br />Phone Number: (970) 887-2123 <br />Fax Number: (970) 887-3168 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or ttach it this form along with your written report and map. Annual Report instructions are <br />enclose . <br />Signature of Co orat O icer, Owner, or Designee <br />d~~ !~ - D~ <br />Date <br />M:~PERMI'I\MASTERDOCUMENTS~Ivf-AF-04 <br />