Laserfiche WebLink
2012 -01 -11 04:15 DRMS <br />PERM11'TEE 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 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 />Tease 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 />mp. If no new disturbances or reclamation have occurred_during the previous year and no new chap es to <br />At)) revious mmesn new ma is reouired provided that the Operato shall sta <br />this in the Annual Report. Please nate 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: Craig Sparrow <br />Permittee Name: Western Equipment & Truck, Inc, <br />Address: 2055 1st Ave. <br />Phone Number' (970) 353 -6682 <br />Fax Number: (970) 352 -7315 <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 - rt and map. Annual Report instructions are enclosed. <br />Si nature; . Corporate Officer, Owner, or Designee <br />Date <br />/ IS <br />Greeley, CO 80631 <br />1 <br />3038328106 » 9703527315 <br />L TWEE and REPO <br />T REQUEST <br />r Western Equipment & Truck, Inc. <br />L M - 2002 - 052 <br />Two Rivers Rock <br />September 2, 2011 <br />$$791.00 (Due on or before your anniversary date) <br />Weld <br />YC1vEb <br />JAN 1 9 i) <br />Division of Reclamation, <br />Morin & Stifet <br />It)o C`.hcs-ne s of a/111 Kurd <br />W-e,re n2a c Y 4 f <br />�t� doll . <br />