Laserfiche WebLink
A R 4- Rpq <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: Hard Rock Paving & Redi Mix, Inc. <br />PERMIT NO.: ✓ M- 1985 -008 <br />OPERATION NAME: Leone - Gardner Gravel MAR 2 5 2010 <br />%y Div"n of Recclafnation, <br />ANNIVERSARY DATE: March 22, 2010 Hining and Safety <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Huerfano <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 land, <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 may to this form The Annual Report <br />& - Fee requirement is not met until we have received' "wing components fee, report, and associated <br />man. 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 may 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: John P. Ary <br />Permittee Name: Ha rd Rock_ Paving & Re Mix Inc. <br />Address: 839 Mackenzie Ave. <br />Canon City, CO 81212 <br />Phone Number: (719) 275 -1280 <br />Fax Number: <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 fo along with your written report and map. Annual Report instructions are enclosed. <br />Si ture of.Corporate Officer, Owner, or Designee <br />Date <br />