Laserfiche WebLink
N? 4- Q4-r <br />ANNUAL FEE and REPORT REQUEST RECEIVED <br />PERMITTEE NAME: `/ City of Walsenburg JAN 2 9 2010 <br />PERMIT NO.: M-2000-092 Division of Reclamation, <br />OPERATION NAME: Walsenburg Gravel Pit Mining & Safety <br />ANNIVERSARY DATE: December 14, 2009 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Huerfano <br />-According. to C.R.S. 34732.5_116 or_C.R.S._34-32-11.6,_.each_year,_on-the.-anniversary-date-of-the-per-mit-,-an- - <br />operator shall submit the annual fee,-a .r-eporLand map showin&Ah-e extent of_eurrent_disx bances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning 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 <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new chances to the previous year's may are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: Eric Pearson <br />Permittee Name: City of Walsenburg <br />Address: 525 S Albert <br />Walsenburg, CO 81089 <br />Phone Number: (719) 738-1240 <br />Fax Number: (719) 738-1875 <br />If you have ad ' 'onal comments and/ <br />below or ach it this form alo <br />enclose . <br />Signature of Corporate <br />/- z 7 - /0 <br />Date <br />?,ka? tN <br />1I?- 13? 1014% -\( 2-70 <br />information that should be provided to the Division, please provide it <br />with your written report and map. Annual Report instructions are <br />Owner, or Designee <br />M:TERA4 rMASTERDOCLTNMNTSUv1-AF-04