Laserfiche WebLink
<br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Lincoln County <br />M-1978-051 <br />Gaede Pit <br />May 24, 2003 <br />MAY 0 1 1003 <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Lincoln <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 <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, 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 ymn• revised written annnal rennrt and annual rennrt m ~n to this 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 petmittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Don Blake <br />Permittee Name: Lincoln County <br />Address: P.O. Box 39 <br />V <br />Hugo, CO 80821 <br />- - PhoneNumber: <br />Fax Number: <br />(719) 743-2337 <br />(719) "743-2815 <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 Repor[ instructions are <br />enclosed. <br />~9~ ~~ <br />Signature of Corporate Officer, Owner, or Designee <br />©~//~d 10,3 <br />Date <br />M iPERMI'MIASTER DOCUM ENTSVv1-AF-00 <br />