2009-02-09_REPORT - M1998091 - Laserfiche WebLink

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ANNUAL FEE and REPORT REOUEST PERMITTEE NAME: Joseph L. and Arlene Cogan PERMIT NO.: M-1998-091 FED 0 9 7-009 OPERATION NAME: Arnold Gulch pivision C. ANNIVERSARY DATE: February 19, 2009 ?':r ns ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) COUNTY: Chaffee 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 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 your revised written annual report and annual report may to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated man. 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: Joseph L. Cogan Permittee Name: Joseph L. and Arlene Cogan Address: P.O. Box 113 Nathrop, CO 81236 Phone Number: (719) 395-2339 Fax Number: kb jv 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. hre l orporate Of cer, Owner, or Designee Date