2008-10-07_REPORT - M1974092 - Laserfiche WebLink

Home Browse Search

C)/c fFEE and ?ORT REQUEST PERMITTEE NAME: korn Ready Mix Corp. PERMIT NO.: A-1974-092 OPERATION NAME: Barlow Pit ANNIVERSARY DATE: October 31, 2008 ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) COUNTY: Morgan mac R,r - I_ l J v6Cr 0 7,200 pen / 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 to date and during the preceding year, new disturbances that are anticipated to occur - Wirig nthe upcoming year, reclamation that wilrbe performed during the coming year, the date`s for the begmning - - of active operations, and the date active operations ceased for the year, if any. Please attach your 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: fees report, and associated map. If no new disturbances or reclamation have occurred during the previous year and no new changes to the previous year's map 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 since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Doug Dowling Permittee Name: Dorn Ready Mix Corp. Address: 19671 Rd R 7 P.O. Box 636 Fort Morgan, CO 80701 Phone Number: (970) 867-2968 Fax Number: (970) 867-7443 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. Signa a of Corporate Officer, O ner, or Designee Date