2011-05-02_REPORT - M1981235 (3)

Home Browse Search

6 C? A- R-PT ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: Webster Sand & Gravel PERMIT NO.: M-1981-235 OPERATION NAME: West Tennessee ANNIVERSARY DATE: April 22, 2011 ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) COUNTY: Lake c/ i`ik 6 2 Z i111 Division u, ,tation, Mining and WmMy 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, -reclama iori accomplished -to date and during the preceding year, new- disturbances that are anficipated-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 vour 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 map. 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: Daryl R. Webster Permittee Name: Webster Sand & Gravel Address: P.O. Box 1834 Colleyville, TX 76034-1834 Phone Number: (719) 486-0427 Fax Number: (719) 486-0427 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. Sign re Corporate Officer, Owner, or Designee Date