Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />Mineral County <br />M-1984-097 <br />Mineral County Pit <br />June 28, 2010 <br />R e IVED <br />MAY ? 0 ZQ10 <br />91/ minipp P, n*tv <br />$791.00 (Due on or before your anniversary date) <br />Mineral <br />- ?aclY-ge tlie` rmit,-an -- <br />-Ac-cording-4e--C-.R S.-34-32-5•--1-i-6-o.-C. . -.34 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances 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 changes 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: Leslie Cahill <br />Permittee Name: Mineral County <br />Address: P.O. Box 70 <br />Creede, CO 81130 <br />Phone Number: (719) 658-2360 <br />Fax Number: (719) 658-2931 <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 <br />enclosed <br />Signature of Corporate Officer, Owner, or Designee <br />A/? 7 .2o/0 <br />Date <br />M:\PERMITIMASTERDOCUMENTS\A4-AF-04