Laserfiche WebLink
Ay 7 3V P"eT- <br />ANNUAL FEE and REPORT REOUEST <br />•++r?v?'r Qp' <br />ACA Products, Inc. <br />PERMIT NO.: M-2005-051 `? --"?NOV 0 2 2009 <br />OPERATION NAME: River Park Recreation Access M,-MV*WR of Reclanyation, <br />ANNIVERSARY DATE: November 14, 2009 r/ Mining and Safety <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Chaffee <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 operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during-the upcoming year, recl& dtiori that will"be performed during the- oming year, the -dates for the begint ing- <br />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 Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the Previous year's may are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />Division-records indicate-the following-permittee -contact-information...- Please verify . and make -any_necessa -- <br />changes: <br />Permittee Contact: Jon Hollenbeck <br />Permittee Name: ACA Products, Inc. <br />Address: 702 Gregg Drive <br />P.O. Box 1887 <br />Buena Vista, CO 81211 <br />Phone Number: (719) 395-3790 <br />Fax Number: (719) 395-3794 <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 enclosed. <br />Q_ ajj? <br />Signature of orporate Officer, Owner, or Designee <br />IDIV <br />Date