2010-06-16_REPORT - M1987088 - Laserfiche WebLink

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%NV * 9kC PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE ANNUAL FEE DUE: COUNTY: ANNUAL FEE and REPORT RE VEST Hubbs III, LLC ?M-1987-088 Hubbs Pit July 14, 2010 $791.00 (Due on or before your anniversary date) La Plata CIEEWED V11-1 JUAN 1 ` Division of 119clamp ipnl J Miwnq & na€aty 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-precedmg-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 our revised written annual report and annual re ort ma to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated Man. If no new disturbances or reclamation have occurred during the previous year and no new chap es to state the previous ear's may are necessary, labeled map that clearly delhineoes and inchludes the this in the Annual Report. Please note that an adequately above elements may since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Barbara E. Hubbs Permittee Name: Hubbs III, LLC Address: 367 CR 129 Hesperus, CO 81326 Phone Number: (905) 588-3309 fax ~'-zr- / 8 Q ?? a • ? ? ?? r At a bk s ? lease provide it If you have additional comments and7or information that should be provided to the Division, p p below or attach it to this form along wit your written report and map. Annual Report instructions are enclosed Signature of Corporate Officer, Owner, or Designee Date