Laserfiche WebLink
<br /> <br />9~~°'~ <br />PERMITTEE NAME: Luis M. Vasquez RECEIVED <br />PERMIT NO.: M-1999-064 ~~~ 2 Q 2004 <br />OPERATION NAME: Lyon King Quarry <br />~„ w,. ,,,,,._.aic!SGeoIoAY <br />ANNNERSARY DATE: August 23, 2004 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Lorimer <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 />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 />Please attach ynnr revised written anmial rennrt and anneal rennrt m~ to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Luis M. Vasquez <br />Permittee Name: Luis M. Vasquez <br />Address: P.O. Box 122 <br />Phone Number: <br />Fax Number: <br />Lyons, CO 80540 <br />(303)823-6116 <br />~~12{ ~~lS ri Jp L <br />`3v3 - ~? 3 - ~1 " Gx~l <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 />Signature of Corporate Officer, Owner, or Designee <br />•/9- G <br />Date <br />