2009-12-28_REPORT - M1976009HR - Laserfiche WebLink

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\h PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: A eLFEE:dnd P RT REQUEST I Nchmidt Construction Company t/1GI- 1976 - 009 -HR Menzer Quarry December 31, 2009 L fr) j (0 K_ 4EC 2 �_- 2009 Diuisicii us vi 'w �,I "ct�ii, miring and W $$791.00 (Due on or before your anniversary date) El Paso 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 uring e upcoming year, reclamation a wi e perfocin`ec7 wring fie 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 chances to the previous year'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: Scott Davis Permittee Name: Schmidt Construction Company Address: 2635 Delta Dr. Colorado Springs, CO 80910 Phone Number: (719) 392 -4207 Fax Number: (719) 392 -4245 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. - i'AV -A Ld=.J- - Signature of Corporate Officer, Owner, or Designee Date