Laserfiche WebLink
~, iii iiiiiiiiiiiuiii ~ <br />A ~a-~1i <br />NNUAL REPORT , <br />t'~.; F <br />PERMITTEE NAME: Moffat County <br />PERMIT NO.: M-1998-003 j~ypR G ~ 200 <br />OPERATION NAME: RaftopoulosPit#1 pms,on~l,vnnerals&Geoto9Y <br />ANNNERSARY DATE: Apri128, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Moffat <br />According to C.R.S. 34-32-1 16(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach vour revised annual report map and written resort to this annual resort. <br />Please note that a1 adequately labeled nurp that clearly delineates and includes the above <br />elements may since for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />T~ot'-FaT Co,~~sT-( ~o~aD l7Ep~. <br />Contact Name: L7E,.~ rJ i S ~ . ~o .J 1£.S Company: <br />Address: ~ O• t3o~C 4G'1 PhoneNo. :(970 ) 8L ~ - 3Z.// <br />~,.~~ C,O 9 1 (~ 2.C. FAX No.: (97a ) ~i'Z~ - 4 3S C. <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. STo Q,K.(~1 r-e'- ~t=Dil Q.T t o ~ o~ t_~ -~ nJo M t4(~ <br />1'v~r ccSS,g2~ <br />Signature of <br />,3 ~~ -~o~,c~ <br />Date <br />or Owner <br />INSTRUCTIONS ON BACX <br />AI:IPERM ffN7ASTER DOCUM ENTSV.I-AF-PI <br />