Laserfiche WebLink
PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />/~~ ^ ~/ / <br />A-1y1~TUAL FEE and REPORT RE <br />OUEST <br />/Louis M. Wyman <br />M-1983-037 <br />Wyman Pit <br />May 31, 2008 <br />$$323.00 (Due on or before your anniversary date) <br />Routt <br />" tl~~r~ ~'~~~ <br />~q pR 2 b~ <br />~ Z~0$ <br />D`J~-nin U ~nc'~'~'aIIcu,~aa <br />9 ara~ ~ <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 operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />- - reclamation-accomplished-to-date- and-during-the preceding-year;--new disturbances -that -are-anticipated -to oc~ur- <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />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 Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred durin the previous year and no new changes to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: L. M. Wyman <br />Permittee Name: Louis M. Wyman <br />Address: P.O. Box 278 <br />Craig, CO 81626-0278 <br />Phone Number: (303) 824-6431 <br />Fax Number: <br />tGs .. 1. ~. I, ..-- <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 enclosed. <br />,_ ~ <br />Signature of Corporate Officer, O er, or Designee <br />Date <br />