Laserfiche WebLink
PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Permittee Contact: Adrian A. Absmeier <br />Address: 1424 21st Street <br />Alamosa, CO 81101 <br />Phone Number: -(419487 0195 <br />Fax Number: <br />Date <br />ANNUAL FEE and REPORT REQUEST <br />Absmeier Landscaping & Construction, LLC <br />/ M- 1982 -033 <br />Malouff Pit /' OCT 11 2011 <br />Division of Reclamation, <br />$791.00 (Due on or before your anniversary date) Mining 8 Safety <br />Conejos <br />October 8, 2011 <br />RECEIVED <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 Iodate and during the - preceding year, new`dlsturbances that are anticipated to 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 Name: Absmeier Landscaping <br />Signature of Corporate Officer, Owner, or Designee <br />1 1 <br />& Construction, <br />C 585 -099 <br />( L`1)58 - © l`t 5 <br />LLC <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 />