2010-08-20_REPORT - M1983102 - Laserfiche WebLink

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PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DACE: ANNUAL FEE DUE: COUNTY: ANNUAL FEE and REPORT REOUEST Reclamation Ridge, LLC M-1983-102 Thompson Resource aka Horn Gravel Pit RECEIVED AOG ? 01010 X39 ?' ` 1lon", August 2, 2010 $791.00 (Due on or before your anniversary date) Grand 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 may to this form. The Annual Report & Fee requirement is not met until we have received the following components fee, report, and associated may . If no new disturbances or reclamation have occurred during the previous Year and no new changes to the previous year's map are necessary, then no new may is required, 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: :Daniel L. Hahn Permittee Name: Reclamation Ridge, LLC Address: P.O. Box 204 469 CR 61 Granby, CO 80446 Phone Number: (970) 887-3720 Fax Number: 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. Signature of C rporate Officer, Owner, or Designee Date