Laserfiche WebLink
PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />A F ~- PST <br />ANNUAL FEE and REPORT REQUEST rL <br />Van Valkenburg Cattle Company, LLC <br />M-2005-003 ,~ <br />Van Valkenburg Gravel Pit <br />May 11, 2008 <br />$$791.00 (Due on or before your anniversary date) <br />Jackson <br />~~~[~~~~ <br />APR 2 9 2000 ~,~ <br />Division c7' ~ecl a etion, <br />Mining and S tY <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 />_ __ xeclamation accomplished.to_date and- during_the_preceding year, new disturbances that are .anticipated to occur __ <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 map 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 during the previous vear 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: William Van Valkenburg <br />Permittee Name: Van Valkenburg Cattle Company, LLC <br />Address: 12353 Hwy 14 <br />Walden, CO 80480 <br />Phone Number: (970) 723-4346 <br />Fax Number: (970) 723-4346 <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 />Signature of Corporate Officer, Owner, or Designee <br />Date ~ <br />