Laserfiche WebLink
~~ <br />oZ-as=o'7 <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />(/ANNUAL FEE and REPORT REQUEST <br />~ Bem~ent County Ready Mix <br />,/M-1995-007 <br />Thomeczek Pit <br />February 6, 2007 <br />~~~ce/~® <br />~ JAN 312007 <br />ivision of Reclamation, <br />Mining and Safety <br />$$281.00 (Due on or before your anniversary date) <br />Bent <br />According to C.R.S. 34-32.5-1 i6 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operatoLShalLsstbmit_th~annual fe~,~ report and map sbowi~ the extent of 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 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 vour revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated man. If no new disturbances or reclamation have occurred durinti the previous vear and no <br />new chanties to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />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: Joe H. Thomeczek <br />Permittee Name: Bent County Ready Mix <br />Address: <br />Phone Number: <br />Fax Number: <br />P. O. Box 387 <br />Las Animas, CO `81054 <br />(719)456-1320 <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 />\ 1~ ~`Gr~ <br />Si lure of Corporate fficer, Owner, or Designee <br />1-30-~7 <br />Date <br />Ll'r-~ ~ -~A,~,L~~lt9~l <br />~ ~ ~ ~~ ~ <br />M:NEAMI7~MASTERDOCUMEMNN-AF-O4 <br />