Laserfiche WebLink
ANNitAi, FF.F, and REPORT RF. iCl iFST t 1'c <br />PERMITTEE NAME: N Colo Water Conservancy Dist ~eC~' V eD <br />PERMIT NO.: M-1981-086 ~~~ > > 1003 <br />OPERATION NAME: Borrow Area C Division ~f Minerals and Geology <br />ANNIVERSARY DATE: July 21, 2003 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Grand <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 />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished-to dat~~uring tfie 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 [he <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attac,}Lymn• revised written annual rennrt and annnal re~nrt 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 permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Jerry A. Westbrook <br />Permittee Name: N Colo Water Conservancy Dist <br />Address: P.O. Box 679 <br />Loveland, CO 80539 <br />Phone Number: (970) 667-2437 <br />Fax Number: (970) 663-6907 <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 />l <br />S gn re o eEate Officer, Owner, o signee <br />7~i ~D3 <br />Dale <br />M:\PERM ITMASTERDOCUMENTSUI-AF-04 <br />