2011-04-11_REPORT - M1991009 - Laserfiche WebLink

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QIP ? 0-r ANNUAL FEE and REPORT RE VEST PERMITTEE NAME: AWhite River Aggregates, Inc.` PERMIT NO.: •? M-1991-009 ? APR I I? OPERATION NAME: White River S & G Pit 01*10" Qr ??ee1,?n?f}en ANNIVERSARY DATE: April 17, 2011 Mining A safety ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) COUNTY: Rio Blanco 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--acao-inplisher to dam an 'd -during -lie p « - -V Ul 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 may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Jack E. Paulson Permittee Name: White River Aggregates, Inc. Address: 1107 E. Victory Way Craig, CO 81625 Phone Number: Fax Number: (970) 824-3187 (970) 824-4067 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. .P. Sign re of Corporate Officer, Owner, or Designee /7/// Date