2007-01-24_REPORT - M1986004 - Laserfiche WebLink

Home Browse Search

~ ~' ~'P~ ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: /~I/arold Brandstadt ~~~~~`~~-~ PERMIT NO.: /l~I-1986-004 ~~AN 2 4 2001 OPERATION NAME: Brandstadt Rock Pit 1°~$iO^ °f RRG~maG9g, Mining end Safely ANNNERSARY DATE: January 24, 2007 ANNUAL FEE DUE: $$281.00 (Due on or before your anniversary date) COUNTY: Delta 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, 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 vour revised written annual report and annual report man to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred during the previous year and no new chanties to the previous year's map are necessary, then no new map is required, provided that the Operator shall state this in the Auuual 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: Hazold Brandstadt Pennittee Name: Harold Brandstadt Address: 20426 G Rd. Delta, CO 81416 Phone Number: (970) 874-4159 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. Signature of Corporate Officer, Owner, or Designee ~Z.2 - d7 Date .. a..~ ~ ~