Laserfiche WebLink
P- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAFFELeand REPORT REQUEST <br />2 M Partnership <br />-2006-042 <br />MMM Partnership Gravel Pit <br />June 20, 2011 <br />7 CEIVED <br />MAY C 9 2 L--i; j <br />Division of ReClatnatiun, <br />Mining & Safety <br />$$323.00 (Due on or before your anniversary date) <br />Logan <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 />b 'o , c ... e e disturbances that are anticipated to occur -t o-d aro au during t e upcomin g year, rec amation 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 vear's man are necessarv. then no new man 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 suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Mark Kokes <br />Permittee Name: M Partnership _ <br />Address: 15160 Hwy. 144 Lot 18 <br />Fort Morgan, CO 80701 <br />Phone Number: (970) 867-3624 <br />Fax Number: (970) 867-3055 <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 />Sign ure of Corporate Officer, Owner, or Designee <br />- q - II <br />Date <br />