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REP20290
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REP20290
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Entry Properties
Last modified
8/24/2016 11:48:52 PM
Creation date
11/27/2007 2:51:02 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979140
IBM Index Class Name
Report
Doc Date
1/26/2004
Doc Name
Annual Fee/Report Notice
From
Delta County
To
DMG
Permit Index Doc Type
Annual Fee / Report
Media Type
D
Archive
No
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s ~s <br />~~ <br />ANNIiAi. FF.F, and REPORT RF.niiF.CT <br />RECEA~ <br />PERMITTEE NAME: Delta County ~ d <br />PERMIT NO.: M-1979-140 ~~ 2 6 Z~(~ <br />OPERATION NAME: Lemoine Gravel Pit ~~~~~ ` , ~i~r <br />ANNIVERSARY DATE: February 16, 2004 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Delta <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 />Pleas a tack ynnr revis d written annnal r ~nrt and annnal re nn rf manrtn this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. ~ See ai+oct+rd rnap- <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Larry Record <br />Permittee Name: Delta County <br />Address: 501 Palmer St., Ste. 227 <br />Delta, CO 81416 <br />Phone Number: <br />Fax Number: <br />(970)874-2100 <br />(970)874-2114 <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 <br />enclosed. <br />SigttaTre ot~orpor~e~f icel r, 6wner, or Designee <br />/~~ ~~0 5~ <br />Dt~e <br />o~ <br />M:~PERMITNIASTERDOCUMENTS~M-AF-04 <br />
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