2008-08-22_REPORT - M1989024 - Laserfiche WebLink

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jA ANNUAL FEE and REPO RE VEST PERMITTEE NAME: Edward M. Yaklich ECERRE D PERMIT NO.: M-1989-024 AUG 2 2 2008 OPERATION NAME: Shangri La Pit Division m Kedamation, ANNIVERSARY DATE: July 26, 2008 Mining and Safety ?J ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) COUNTY: Custer 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 shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, - ---reclamation-accomplished-te-datg-and_during_the_-preceding--year,-new--disturbanees ha are. anticipated to ovzur during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach vour revised written_ annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated may. If no new disturbances or reclamation have occurred during the previous year and no new changes to the previous year's may are necessary, then no new map is required, provided that the Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Edward W. Yaklich Permittee Name: Edward M. Yaklich Address: 1180 CR 129 Westcliffe, CO 81252 Phone Number: (719) 783-4700 Fax Number: i" If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. Signature of rporate Officer, Owner, or Designee Date