Laserfiche WebLink
-:nub r--1'r is 11--' <br /> ANNUAL FEE and REPORT RE VESST <br />PERMITTEE NAME: Silver Mountain Preserve, Inc. <br />PERMIT NO.: M-1992-003 <br />OPERATION NAME: Willis Pit <br />ANNIVERSARY DATE: February 7, 2009 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Huerfano <br />RECEIVED <br />JAN 19 2009 `' <br />Division of Reclamation, <br />Mining and Safety f <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 />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upco year, reclamation that will be peormed-duringt- e?-coming year, the dates for the begimmh <br />g- <br />ming <br />during <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 may 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 to <br />the previous vear's man are necessarv. 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 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: Travis R. Crawford <br />Permittee Name: Silver Mountain Preserve, Inc. <br />Address: 11850 CR 520 <br />La Veta, CO 81055 <br />Phone Number: (719) 742-3971 <br />Fax Number: (719) 868-2416 <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 />r- <br />Signature of Corporate Officer, O , or Designee <br />4 9 <br />Date