2006-07-21_REPORT - M2005032 - Laserfiche WebLink

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J PERMTTTEE NAME: PERMIT NO.: OPERATION NAME: ANNNERSARY DATE: ANNUAL FEE DUE: COUNTY: V ANNUAL FEE and REPORT REQUEST r/ Sprague Scraper Service, Iuc. M-2005-032 Sprague Scraper Service Pit August 16, 2006 RECEla/ED ~ ~u~ 2 ~ Zoos Division of Minerals and Caology $281.00 (Due on or before your anniversary date) Washington 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_chewing-the_exrent-of-current-disturbances-to-affected land, - reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur 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 resort maa to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map (All are required regardless of the level of disturbance or absence of disturbance during the previous year). 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: Jeffrey Sprague Permittee Name: Sprague Scraper Service, Inc. Address: 610 Ellis Ave. Phone Number: Fax Number: Wray, CO 80758 (970)332-5807 ,~ .t~Jl.t ~~ l.lf If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. S' re o Co ate Officer, Owner, or Designee 7 /y alp Date