2010-11-19_REPORT - M1978314 - Laserfiche WebLink

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R P * RP-r ANNUAL FEE and REPORT RE UEST PERMITTEE NAME: King Mountain Gravel, LLC PERMIT NO.: / M-1978-314 OPERATION NAME: King Mountain Sand & Gravel Mine ANNIVERSARY DATE: November 22, 2010 ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) COUNTY: Routt 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 man 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 changes to the previous year's man are necessary, then no new map 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: Kirk rl?l Permittee Name: King Mountain Gravel, LLC Address: 7276 W. Mansfield Ave. Lakewood, CO 80235 Phone Number: (303) 988-6286 Fax Number: (303) 986-2771 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach i this rm along with you tten report and map. Annual Report instructions are enclosed. a- 011 Signature of Corporate Officer; wner, or Designee Date