Laserfiche WebLink
9'~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Rio Blanco County <br />M-1977-136 <br />Prather Pit <br />February 23, 2006 <br />$688.00 (Due on or before your anniversary date) <br />Rio Blanco <br />RECEII/Ep <br />FEB 1 6 2006 <br />Diwsion of Mmerels and Geology <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an <br />operator s'etall`submiYthe annual fee, a rep6rt and rnap showing the"exlenrof current disturbances to affected -- -- <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming yeaz, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach ymm revised written annual report and annnal report m n thin form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following petrnittee contact information. Please verify and make any necessary <br />changes: <br />PermitteeContact: deny-3teele- ~/Q.VId l~. ~bY'~~F_/'U <br />Permittee Name: Rio Blanco County <br />Address: 570 2nd St. <br />Meeker, CO 81641 <br />Phone Number: (g7gj-g7ii S~i63~- 97~ - 8 `Jg- 95gd <br />Fax Number: (970) 878-3396 <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 <br />enclosed. <br />t ~~ <br />gnature of Corporat Of cer, Owner, or Designee <br />/~~~~~L <br />Date <br />M: W EAMITN1ASiERD000MENTS~h1-AF-04 <br />