2012-03-16_REPORT - M2005045 - Laserfiche WebLink

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U/t�-- COUNTY: La Plata Q/ VMS," of � 'q1� t o Miniy A §@i* � 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 anticipated 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 required. 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: D ! M ate- Gave. a � an Permittee Name Address Oldcastle 6699 CR 521 P.O. Box 1969 SW Group, Inc. dba Four Corners Materials Bayfield, CO 81122 Phone Number: (970) 247 -2172 Fax Number: If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it jo this form along with your written report and map. Annual Report instructions are enclosed. Signature of CoWrate Officer, Owner, or Designee -11� K i 10 �\ /7- � 4 ANNUAL FEE and REPORT REOUEST PERMITTEE NAME: �"ldcastle SW Group, Inc. dba Four Corners Materials PERMIT NO.: k-l(1- 2005 -045 OPERATION NAME: Rock Dog #1 RECEIVED ANNIVERSARY DATE: March 13, 2012 ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) MAR 1$ 1012 COUNTY: La Plata Q/ VMS," of � 'q1� t o Miniy A §@i* � 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 anticipated 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 required. 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: D ! M ate- Gave. a � an Permittee Name Address Oldcastle 6699 CR 521 P.O. Box 1969 SW Group, Inc. dba Four Corners Materials Bayfield, CO 81122 Phone Number: (970) 247 -2172 Fax Number: If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it jo this form along with your written report and map. Annual Report instructions are enclosed. Signature of CoWrate Officer, Owner, or Designee