Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />kit Carson County <br />`/M-1991-069 <br />Heintges Pit <br />July 10, 2009 <br />RECEIVED <br />-//JUL 10 2009 <br />Division of Reclamation, <br />Mining and Safety <br />1? <br />$$323.00 (Due on or before your anniversary date) <br />Cheyenne <br />According to C.R.S. 34-32.5-116 or C.R.S-34=3-2 T16,-each year, on the anniversary-date-af-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 may 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 chances to the previous vear's map are necessarv. then no new map is reauired, 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 suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Carol A. Fritz <br />Permittee Name: Kit Carson County <br />Address: P.O. Box 160 <br />Burlington, CO 80807 <br />Phone Number: (719) 346-8139 <br />Fax Number: (719) 346-7242 <br /> <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 for it .your written report and map. Annual Report instructions are <br />losed. <br />Signature f Corporate M%er, Owner, or Designee <br />C2 ` l CP - 09 <br />Date <br />M: PERMITIMASTERDOCUMENTS\M-AF-04