Laserfiche WebLink
0 01r- <br />z1 <br />FEE and REPORT RE UEST <br />PERMITTEE NAME: L. G. Everist Incorporated PERMIT NO.: 41996-052 r? <br />OPERATION NAME: Firestone Gravel Resource E®iFP 102008 <br />ANNIVERSARY DATE: Auqust 4. 2008 fliin:nu ?gi???ANNUAL FEE DUE: $791.00 4nd Szf,p; <br />COUNTY: Weld County <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 an annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date during the preceding year, new disturbances that are anticipated to occur during <br />the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of <br />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 year and no new changes <br />to the previous year's map are necessary then no new may is required provided that the Operator shall <br />state this in the Annual Report. Please note that an adequately labeled map that clearly delineates and <br />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 />Permittee Contact: <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Lynn M. Shults <br />L. G. Everist, Incorporated <br />7321 E 88 1h Avenue, Suite 200 <br />Henderson, CO 80640 <br />303-286-2247 <br />303-289-1348 <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 Offic r, Owner, or Designee <br />Date <br />FGR-DRMS-Ann Repo rt&Letter-090808.doc