2009-05-21_REPORT - M2005002 - Laserfiche WebLink

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IF PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE ANNUAL FEE DUE: COUNTY: ANNUAL FEE and REPORT REQUEST S 9 chuler Construction AI-2005-002 Schuler Construction Pit # I June 24, 2009 CEIV MAY Z `r ZOU Division or kecamation, Ammin9 and safety $$323.00 (Due on or before your anniversary date) El Paso 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, rec a 'on accom lished to date and durin 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 or t e egmnmg 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 year's map 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 changes: Permittee Contact: Dave Schuler Permittee Name: Schuler Construction Address: 4520 Ramah Highway Yoder, CO 80864 Phone Number: (719) 478-2442 Fax Number: informati .. Please verify and make any necessary,, 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. Zigure "ofCorporat(310-fficer, Owner, or Designee Date