Laserfiche WebLink
C <br />`~. ~ ~'C' ~ o/c <br />/ /~~ ~ /~~ <br />ANNUAL. FEE end REPORT RE VEST <br />PERMITTEE NAME: Saguache County ~ MAY 14 <br />2000 <br />PERMIT NO.: ~-1995-075 -CSivision of keclamation, <br />OPERATION NAME: Coleman Pit Mining and Safety <br />ANNIVERSARY DATE: Apri125, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Saguache <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,-r~;clamation-accomplished-to~teKand-during=the-preeedirrg-year;-new d~tur-bances-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 repo__rt 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 />i <br />C ~ <br />1 ~ ~+ <br />~ <br />(~ <br />~ <br />l H <br />f <br />R <br />d <br />U <br />~ <br />ontact: <br />Perm <br />ttee ~ n <br />~. <br />r <br />r e <br />. <br />nge <br />ug <br />o•, <br />an <br />a <br />n <br />Permittee Name: Saguache County <br />Address: P.O. Box 476 <br /> Saguache, CO 81149 <br />Phone Number: (719) 655-2554 <br />Fax Number: (719) 655-2534 7~~- G 55~~5 Y 3 <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 />Signature of Corporate Officer, Owner, or Designee <br />Date <br /> <br />M:~PERMIT~IvIASTERDOCLJMENTS~IvI-AF-04 <br />