2009-12-18_REPORT - M1985200 - Laserfiche WebLink

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0/m fj4 ' T ANNIJAL FE - and AEPORT REOUEST According to C IZ. S- 34 32.5- 1- 1-6- or &R- S-34- 32- -I -1 -6 —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, 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. Please attach your 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 ear's map are necpsary, then no new map is re uired 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: Cynthia L. Erker Permittee Name: Michael G. Erker and Cynthia L. Erker Address: 2550 Winding River Dr. #M3 Broomfield, CO 80020 Phone Number: (303) 438 -5777 Fax Number: 14 f7.. - 3�>2 - 910 �? 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. Signat a of Co orate Officer, Owner, or Designee Date nuJ a�iv � �"- f�... y am-. .St y � M: \PERMITUMASTERDOCUMENTS\IVI -AF -04 /� (111 5, (b ffb6 � �(��fr' M' l G. Erker Cynthia L. Erker t/ n PERMITTEE NAME: ae and PERMIT NO.: - 1985 -200 Divisia: Kula Gravel Pit OPERATION NAME: ANNIVERSARY DATE: December 18, 2009 ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) COUNTY: Morgan According to C IZ. S- 34 32.5- 1- 1-6- or &R- S-34- 32- -I -1 -6 —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, 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. Please attach your 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 ear's map are necpsary, then no new map is re uired 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: Cynthia L. Erker Permittee Name: Michael G. Erker and Cynthia L. Erker Address: 2550 Winding River Dr. #M3 Broomfield, CO 80020 Phone Number: (303) 438 -5777 Fax Number: 14 f7.. - 3�>2 - 910 �? 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. Signat a of Co orate Officer, Owner, or Designee Date nuJ a�iv � �"- f�... y am-. .St y � M: \PERMITUMASTERDOCUMENTS\IVI -AF -04 /� (111 5, (b ffb6 �