2009-03-16_REPORT - M1989009 - Laserfiche WebLink

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UAL FEE and REPORT REQUEST RECEIVED PERMITTEE NAME: Pi-Rude Inc 7 6 2009 PERMIT NO.: c,d-1989-009 Division of Reclamation, OPERATION NAME: J-Rude Inc Mi ft and Safety ANNIVERSARY DATE: March 17, 2009 ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) COUNTY: Prowers 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, -'" f?-ml aec,anrpti-shed-t"ate_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 map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred during the previous year and no new changes to the previous vear's map are necessarv, then no new map is reauired, 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: Rudy Torres Permittee Name: J-Rude Inc Address: 1750 CR HH Phone Number: Fax Number: Lamar, CO 81052 (719) 336-7361 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. ign ure of Corporate Officer, Owner, or Designee 19 Date