2006-08-09_REPORT - M2001023 - Laserfiche WebLink

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-~S PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: ij ANNUAL FEE and REPORT REpUEST // Precision Excavating, Inc. M M-2001-023 Camilletti Milner Pit #2 RECEIVED " AIIG 0 9 2006 Division of ReGamation, Mining and Safety August 1, 2006 $688.00 (Due on or before your anniversary date) Routt 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 - - shall-submit-the-annual--fee, -a •report-and map showing the extent of current disturbances to affected land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach vour revised written annual report and annual reuort map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map (All are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following pennittee contact information. Please verify and make any necessary changes: Permittee Contact: David S. Zehner Permittee Name: Precision Excavating, Inc. Address: P.O. Box 790 Hayden, CO 81639 Phone Number: (970) 276-3359 Fax Number: (970) 276-3084 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. Signature of Corporate ~ er, Owner, or Designee Date