2006-11-17_REPORT - M1986040 - Laserfiche WebLink

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~~ PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: ~ ANNUAL FEE and REPORT REQUEST Bear River Sand & Gravel ~M-1986-040 Bear River S & G November 20, 2006 !!OV j ~ 200 ~~Dlvislonor 5 Min/nb atd Sa efy°n. $688.00 (Due on or before your anniversary date) Routt ~- 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 shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, --- reclamation-accomplished-to-dateand-during-the preceding year; ncw-disturlsance~ th~i'are anTicipafea`to occu? -" " during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach your revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated man. If no new disturbances or reclamation have occurred durin¢ the previous year and no new changes to the previous year's map are necessary, then no new map is required, provided that the Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Lester Crawford Permittee Name: Bear River Sand & Gravel Address: P. O. Box 616 Oak Creek, CO 80467 Phone Number: (970) 736-2310 Fax Number: If you have additional comments and/or information that should be provided to the Division, please provide below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. Si e of Corporate Officer, Owner, r Designee 1 l - / ~ ~6 Date