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2005-06-07_REPORT - M2001012
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2005-06-07_REPORT - M2001012
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Entry Properties
Last modified
8/20/2019 10:35:55 AM
Creation date
11/27/2007 3:18:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001012
IBM Index Class Name
Report
Doc Date
6/7/2005
Doc Name
Annual Fee/Report/Map
From
Washington County
To
DMG
Permit Index Doc Type
Annual Fee / Report
Media Type
D
Archive
No
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~~ <br />PERMTITEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Washington County <br />M-2001-012 <br />Shook Gravel Pit 1 <br />May 31, 2005 <br />$688.00 (Due on or before your anniversary date) <br />Washington <br />1~'~"~ <br />r, , ~ : ` i <br />JUi~I ~ % Zuu~ <br />'Jlviw,,:. ,,: ,.... <br />.. - e S~olnfiY <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 />_ _ _o~erator shall submit the annual fee, a report an_d_ma~showing. the extertt_oi;currentslisturbances_toaffected_ ~~ __ <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 y~m.r revised written annnal report and annnal re~nrt m to this form. Please note that an <br />adequately labeled map that clearly 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: c'-'-- ' ° ~_-, <br />Permittee Name: Washington County <br />Address: 150 Ash <br />Phone Number: <br />Fax Number: <br />Akron, CO 80720 <br />(970) 345-2701 <br />(970) 345-2702 <br />Se 5s~ ~C~vk52.. <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 aze <br />enclosed. <br />~ ~~~~~ <br />Signature of Corporate Officer, Owner, or Designee <br />S1311bs <br />Date <br />M:~PERMIT~MASTERDOCUMEMS~M-AF-00 <br />
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