Laserfiche WebLink
0 <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANZWL FEE and REPORT REQUEST <br />'gh Plains Stone Company <br />-1990-016 <br />South 40 Quarry <br />July 11, 2011 <br />• bm k <br />RECEIVED <br />JUN 0 7 i- . <br />Oivlaton of Reclamation, <br />Mining & Safety <br />$$323.00 (Due on or before your anniversary date) <br />Fremont <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 />-r-eclamatieq-accon}plished--to-date-and-dtrr-ing the-pre- eding-year,-new-disturbanees that ar-e anticiptw&d 'occur - --- - <br />during the upcoming year, reclamation 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 year's map are necessary, then no new map is required, 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: Debbie Wagner <br />Permittee Name: High Plains Stone Company <br />Address: P.O. Box 100 <br />Castle Rock, CO 80104 <br />Phone Number: (303) 791-1862 <br />Fax Number: (303) 791-1919 <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 />f <br />Signature of Corporate Officer, Owner, or Designee <br />lQ - 5 l 1 <br />Date