Laserfiche WebLink
PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <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 />— - -. reclamation- accomplished -to- date- and-during- the - preceding - year, - new - disturbances - that are antic - ipa d - to occur`" — " -- <br />during the upcoming year, reclamation that wilfbe performed urmg the coming year, the dates tor 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 chances 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: Dan or Doug Grant <br />Permittee Name: Grant Bros Construction Ltd <br />Address: P.O. Box 1027 <br />Phone Number: <br />Fax Number: <br />Date <br />Basalt, CO 81621 <br />(970) 927 -3201 <br />(970) 927 -8386 <br />ANNU L EE and REPORT REQ ST <br />Grant Bros Construction Ltd <br />V - 1981 -068 <br />Loesch Pit <br />October 27, 2011 <br />$791.00 (Due on or before your anniversary date) <br />Garfield <br />i S Oev 5 jock. <br />RECIETWO <br />P 1 4 ,nii <br />iaivison or Keclamallon, <br />Mining and Safety <br />If you have additional comments and /or information that should be provided to the Division, please provide it <br />be or a; . ch it to this form along with your written report and map. Annual Report instructions are enclosed. <br />C - v o . g i . O S , C 6 1 4 5, — / �1 0.y . r' ` 4 • C o , <br />o u /a s ,L G- Ha A. -7 <br />Signature d1 Corporate Officer, Owner, or Designee <br />r eteik v <br />