Laserfiche WebLink
oK- <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />rr ? I <br />ANNXUIAL EE and REPORT REOUEST <br />A Larimer County <br />A-1977-425 <br />Strang Gravel Pit <br />April 23, 2009 <br />C C.S <br />7? <br />'lee <br />$$791.00 (Due on or before your anniversary date) <br />Larimer <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 <br />operator shall submit the annual-fee, a-r-epm and map-shwwnig-the-extent of current-disturbances-to-affected- - <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may, sufficefor a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Dennis C. Morrison <br />Permittee Name: <br />Address <br />Larimer County <br />P.O. Box 1190 <br />Fort Collins, CO. 80522 <br />Phone Number <br />Fax Number: <br />(970) 498-5652 <br />(970) 221-0232 <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 <br />encl sed. <br />Signature of Corporate fficer, Owner, or Designee <br />Date <br />M: \PERMITIMAS TERDOCUMENTSW-AF-04