Laserfiche WebLink
ECEi\/E® <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />San Miguel County <br />M-1981-154 <br />Norwood Pit <br />November 20, 2003 <br />$688.00 (Due on or before your anniversary date) <br />San Miguel <br />NOV 1 ~ pp03 <br />Division ai Minerals and Geoloo~ <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 <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that 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 attach ~Lr revised written annual report and anneal renort m to this form. Please note that an <br />adequately labeled map that c/early delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Mike Homer <br />Permittee Name: San Miguel County <br />Address: P.O. Box 426 <br />Norwood, CO 81423 <br />- :~==(9~0~32:2~35- - - - - <br />Fax Number: (970) 327-4090 <br />If you have additional comments and/or infotmation 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 <br />enclosed. <br />c'~~ ~~~~ <br />Si nature of Corporate Officer, Owner, or Designee <br />-//-Dj <br />Date <br />M;\PERM ITUTASTERDOCUMENTSVv7-AF-04 <br />