2009-03-03_REPORT - M1992108 - Laserfiche WebLink

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alc CEN/ED AMAR 0 3 2009 ' Division of Reclamation, AL FEE and REPORT RE?tJ1;ST Mining and Safety PERMTTTEE NAME: Bad Boy Stone PERMIT NO.: '41-1992-108 OPERATION NAME. Bad Boy Stone ANNIVERSARY DATE: February-39 200 F - - - ANNU? FEE UIJL. $$2>?I Ui? (Due on or before your anniversary date)- COUNTY: Balder Sk'?/ According W C.R.S. 3432.5-116 or C.R.S. 34-32-116, each year, on ft anniversary date of the permit, an operator the extent of current disturbances to affected land, shall submit the annual fee, a report and map showing new disturbances that 4re anticipated to occur reclamation accomplished to date and during the preceding year, reclamation that will be performed during the coming year, the dates for the beginning during the upcoming year, of active operatigns, and the date active operations ceased for the year, if any. Please a eh Your revised written annual xc rt and annual re ort..ma to this form, The Annual Report -a as ,r _I ga & Fee requirement is not met until we have received n red d in them revlons. year and no new bunCles o ma , If no new disturb aces or reclamation have ocr fta fte the revlous ear's ma are necess then no new al 1 i lamed map provided lear that deb neatesrand in cudes the this in the Annual Reach Please note that an adequ Y above elements may since for a wr'"t " report. Division records indicate the following permittec contact information. Please verify and make any necessary changes: Permittee Contact: Pablo Vasquez Permittee Name: Bad Boy'Stone Address: 11493 WCR 20 Fort Lupton, CO 80621 Phone Number: (303) 857-4544 Fax Number: (303) 772-9447 ease If you have additional comments andlor information that should be provided' to Chet Division. lea enclosed a it below or attach it to-this form along with your written report and map. Annual ReP Q ? ?o Signa of Corporate Offie r, Owner, or Designee 0 Date