Laserfiche WebLink
PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~ ~ ~~ <br />ANNUAL FEE and REPORT RE VEST <br />Thomas F & Ginger L Latham <br />M-1981-058 <br />DeBeque Gravel Pit <br />September 7, 2007 <br />RE~E~~ <br />SEP 1 A ~p01 <br />pivlMlnl~ ~~~n. <br />$$791.00 (Due on or before your anniversary date) <br />Mesa <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 ]and, <br />_ _ reclamation accomplished to date and during the preceding_~ear, new disturbances that are anticipated to occur - <br />during the upcoming year, reclamation that will be perfonned 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 your 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 />man. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to <br />the previous year's moo are necessary, then no new man 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 suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Hazold F. Elam <br />Permittee Name: Thomas F & Ginger L Latham <br />Address: 1225 S. 7th St. <br />Grand Junction, CO 81501 <br />Phone Number: (970) 242-5370 <br />Fax Number: (970) 245-7716 <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 />Signatur Corporate Of cer, Owner, or Designee <br />l'/a-o7 <br />Date <br />