Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Montrose County <br />M-1977-407 <br />Cedar Creek Pit <br />January 30, 2004 <br />o ~- <br />~tECEtVED <br />dAN 15 2004 <br />~Yh$94M01 AAiaerats& 6edoYY <br />$688.00 (Due on or before your anniversary date) <br />Montrose -N <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 />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <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 ymn• revised written annual report and annual re nrn t man 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: Brian Wilson <br />Permittee Name: Montrose County <br />Address: 161 S. Townsend <br />Montrose, CO 81401 <br />Fax Number: (970) 249-7761 q'7~' o(,j 7 - '~ ©(t3 <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 Repor[ instructions are <br />enclosed. <br />.--~ >, <br />tgnamre of Corporate OfScer, Owner, or Designee <br />~a--/vz ~rz <br />Date <br />M:\PERM ITMASTERDOCUMENTSNA-AF-04 <br />