2009-12-01_REPORT - M1977208 - Laserfiche WebLink

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ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: CEMEX, Inc. PERMIT NO.: M- 1977 -208 OPERATION NAME: Lyons Quarry ANNIVERSARY DATE: September 8, 2009 ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) COUNTY: Boulder 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 s a submit the annual tee, a report arid map sirming the extent 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, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. P lease attach your revised written annual report and annual repo map to this form The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associat map If no new disturbances or reclamation have occurred during the previous year and no new ch anges to the previous year's map are necessary, then no new map is required, prov ided 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: Monica Sowders Permittee Name: Address CEMEX, Inc. P.O. Box 529 Phone Number: Fax Number: Lyons, CO 80540 (303) 823 -2100 (303) 823 -2199 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. Date