Laserfiche WebLink
A?&bsmeier NUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: Landscaping & Construction, LLC <br />PERMIT NO.: / M-1982-033 <br />OPERATION NAME: Malouff Pit <br />ANNNERSARY DATE: October 8, 2010 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Conejos <br />RECEIVED <br />./ OCT 12 2010 <br />fly Division of Reclamation, <br />!wining & Safety <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-anzrdurhWthe-prece-ding year, new disturbs mees that are anticipated o o? ccar '" <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 map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous Year's map are necessarv, then no new map is reauired, 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 suf ce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Adrian A. Absmeier <br />Permittee Name: Absmeier Landscaping & Construction, LLC <br />Address: 586 <br />Alamosa, CO 81101 <br />Phone Number: (719) 589-6994 <br />Fax Number: <br />iTa?r ais? ?f <br />(W 5-817 01115 <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 enclosed. <br />ignature of Corporate Officer, Owner, or Designee <br />10-6-1() <br />Date