Laserfiche WebLink
U <br />F"q j, Ri 7 <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: � Hocker Construction, LLP <br />RECEIVED <br />PERMIT NO.: /M- 1977 -446 v -I JAN p q Z01U <br />OPERATION NAME: Ignacio Pit <br />Division or rceciamation, <br />ANNIVERSARY DATE: December 30, 2009 Mining and Safety <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <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 disturba t o affected land, ` <br />reclamation accompli "shed�o — date an3`during a preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <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 map 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 map 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 necessary <br />changes: <br />Permittee Contact: Roy oc r <br />Permittee Name: Hoc er Construction, LLP <br />Address: P. O. Box 627 <br />Ignacio, CO 81137 <br />Phone Number: (970) 563 -9533 <br />Fax Number: <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below ach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signatu a 6fCorporate Officer, Owner, or Designee <br />1 o9 <br />Date <br />