2011-05-27_REPORT - M2002009 - Laserfiche WebLink

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6M k ANNUAL FEE an REPORT QUEST^^ n PERMITTEE NAME: Lafarge West, Inc. IV 1V" -S PERMIT NO.: (/M-2002-009 OPERATION NAME: Beeman Pit #1 ANNIVERSARY DATE: May 20, 2011 ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) COUNTY: Pueblo 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_ant_icipated 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 reauired, 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: Robert O. Ray Permittee Name: Lafarge West, Inc. Address: 10170 Church Ranch Way, Ste. 200 Westminster, CO 80021 Phone Number: (303) 657-4579 Fax Number: (303) 657-4037 If you have additional comments and/or information that should be below or attach it to this form along with your written report and map. Signatu a of Corporate Offi r, Ow r, or Designee Date provided to the Division, please provide it Annual Report instructions are enclosed.