Laserfiche WebLink
A ~ : ~ -° 1" <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: ~ Walsenburg Sand & Gravel, Inc. <br />PERMff NO.: ~PYI-1978-283 <br />OPERATION NAME: Sand Arroyo <br />ANNNERSARY DATE: Apri124, 2007 <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br />COUNTY: Huerfano <br />>~ <br />APO 9 ~ zoo' <br />Olvi ion of Ro®IdfRdtl®ry, <br />~Ining and 9h/6ty <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 operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />- --reclamation-accomplished-to date and during the preceding-ycar;-new disturbances-that"are-anticipated-to occur- -- <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. . <br />Please attach vour revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred durinc the previous veer and no new chances to <br />the previous vear's map are necessarv, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may since for a written report. <br />Division-records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Louis Vezzani <br />Pennittee Name: Walsenburg Sand & Gravel, Inc. <br />Address: Hwy. 10 <br /> Walsenburg, CO 81089 <br />_ -Phone Number: (719) 738-1883 --- - -- ~ " _ " <br />Fax Number: (719) 738-1883 <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 enclosed. <br />S gnature of orporate Officer, O ~, or Designee <br />/~ l ~ ~ <br />Date <br />