Laserfiche WebLink
? i <br />p _ ?4 <br />ANNUAL FEE an4 REPORT REQUEST <br />PERMITTEE NAME: R M Hiner Construction Co Inc M CEp Y D <br />PERMIT NO.: 4M-1977-151 J N 2 6 2010 <br />OPERATION NAME: Greeley Pit iVision of Reclamation, <br />ANNIVERSARY DATE: January 30, 2010 Mining & Safety <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Weld <br />OK' <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-lands - - --- <br />reclamation accomplished to date and during the 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: Rex M. Hiner <br />Permittee Name: R M Hiner Construction Co Inc <br />Address: 11 Austin Rd <br />Lamar, CO 81052-4301 - <br />Phone Number: (719) 336-3467 <br />Fax Number: (719) 336-5031 <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 />J?ffital a 61 (" <br />Signature of Corporate Officer, Owner, or Designee <br />January 25, 2010 <br />Date