Laserfiche WebLink
?4-AUC-2005 13:21 FROtF~Colorado Division of tlineralt d Oeolosy <br />Ar~Rr''i <br />PERMITTEE NAME: <br />°ERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUL: <br />COI1N'I'Y: <br />+13038326106 T-440 P.ODO/DD4 F-§g6 <br />~S Tr'; DEG <br />[NTiAT, FFR and RRPt)RT RF(1TTFCT <br />~N~lo Water Conservancy Dist ~~ <br />t'M-I981-086 <br />Borrow Area C <br />July 21,2005 <br />$688.00 (Due on or before your anniversary date) <br />Grand <br />According to C.R.S. 34-32,5-116 or C.R.S. 34-32.1]6, each yeaz, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extrnt of cutrcnt disturbances to affected <br />land, reclamation aeeotttplished to date and during the preceding year, new disturbances that arc anticipated to <br />occur doting dre upcoming year, reciatnadon chat 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 anach yn .r revised wrtttP anneal report and anneal re rt msp to th:g f^rm- please note that an <br />adequately labeled reap that clearly delineates and includes tke above efemenrs may suffice for a written <br />report. <br />Division records indicate the following permittee contact infonttation. Please verify and make airy necessary <br />changes: <br />Permittee Contact: Jetry A. Westbrook <br />Permittee Name: N Colo Water Conservancy Dist <br />Address: P.O. Box 679 <br />7 <br />Loveland, CO 80539 <br />Phone Number: (970) 667 2437 <br />Jim Struble <br />Northern Colorado Water Conservancy <br />str ct <br />220 Water Avenue <br />Berthoud, CO 80513 <br />970-532-7700 <br />Fax Number: (970j 663-6907 970-532-0942 <br />[f you have additional comments and/or infottnation that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and trap. Annual Report instructions are <br />enclosed. <br />or Designee <br />~~l~S <br />1f ~WERM77+MnsrERDORIMENTSV~f.gF.oa <br />