Laserfiche WebLink
)&F + RQT- <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />La Plata County <br />M-1981-114 L_-? <br />Crader Gravel Pit <br />June 27, 2009 <br />JUN 12 2009 <br />Dlvlrim of RWL"Wa, <br />Ming said U* <br />$791.00 (Due on or before your anniversary date) <br />La Plata <br />-According__to-C.R.S. 34-32.5-116-or C.R.S.. 34-32--1-1.6,_each. year, on_ the_anniversary_date -of-the _permit, -an_ <br />operator shall submit the annual fee, a report and map showing 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 may are necessary, then no new may 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 since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Walter A. Serfoss 1 ??1 t4 ?t S <br />Permittee Name: La Plata County <br />Address: 1365 S. Camino Del Rio <br />Phone Number: <br />Fax Number: <br />Durango, CO 81303 <br />(970) 382-6417 <br />_(970) 242-8279 <br />If you have additional com <br />below or attach it to this <br />enclosed. n <br />ianature of <br /> <br />Date <br /> <br />g 7111") - Z`44 - &z 7? <br />9 70 ? 7z5 - '79010--&1 <br />information that should be provided to the Division, please provide it <br />with your written report and map. Annual Report instructions are <br />, or Designee <br />M: \PEF MIT?MAS TERDOCUMENT S\M-AF-04