2010-05-12_REPORT - M1978327 - Laserfiche WebLink

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PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: ANAL FEE and REPORT REOUEST J e Kauffman & Son, Inc M-1978-327 Kauffman Pit May 14, 2010 $$791.00 (Due on or before your anniversary date) Larimer ec s O)K- cp-W t/MAY 12 20 i J Division of Reclamation, -/0 Mining & Safety 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 during the upcoming year, reclamation that will be performed during the 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 changes to the previous vear's mar) are necessarv. then no new man is reauired. 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: Mary Kauffman Permittee Name: Jake Kauffman & Son, Inc Address: 808 SCR 9E Loveland, CO 80537 Phone Number: (970) 667-1557 Fax Number: (970) 667-9985 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. Owner, or De'signee Date