2010-12-10_REPORT - M1982015 - Laserfiche WebLink

Home Browse Search

441- NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANN AL FEE and REPORT REQUEST rma Bayshore LLC M-1982-015 St. Vrain Lakes, Filing 1, Slurry Wall December 10, 2010 ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) COUNTY: Weld 4v ' 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 map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred during the previous year and no new changes to the previous vear's map are necessarv, 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 naay suffice.for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Marc Savela Permittee Name: Carina Bayshore LLC Address: 188 Inverness Dr. West, Ste. 150 Englewood, CO 80112 Phone Number: (303) 706-9451 Fax Number: (303) 706-9453 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to th. form ong with your written report and map. Annual Report instructions are enclosed. Signature of Cor rate Officer. Owner. or Designee Date