2009-07-06_REPORT - M1986074 - Laserfiche WebLink

Home Browse Search

? J A AL t and PORT REQUEST PERMITTEE NAME: C,rKym A. Schure PERMIT NO.: VI-1986-074 0 A 6.2009 JUL OPERATION NAME: Dollerschell Pit Dhftiw of Reclamation, ANNIVERSARY DATE: June 30, 2009 MiWng and Safety ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date ) COUNTY: Logan 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, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur during-the upcoming year,`re6dmation tfiat wi e performe uring t e coming yenr, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach vour 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 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 information. Please verify and make any necessary changes: Permittee Contact: Kym A. Schure Permittee Name: Kym A. Schure Vo I V Address: 12826 CR 37 Sterling, CO 80751 Phone Number: (970) 522-9485 Fax Number: If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to s fo along with your written report and map. Annual Report instructions are enclosed. S' ature of Corporate Officer, Owner, or Designee Date