Laserfiche WebLink
I <br /> • III IIIIIIIIIIIII III • <br /> 999 <br /> ANNUAL FEE and REPORT REOUEST <br /> PERMITTEE NAME: B & B Excavating, Inc. <br /> PERMIT NO.: M-1998-024 <br /> OPERATION NAME: Hidden Valley Pit <br /> ANNIVERSARY DATE: August 3,2001 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Eagle <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 land, <br /> reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br /> during the upcoming year, reclamation that will be performed 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. Please note that an <br /> adequately labeled map that clearly delineates and includes the 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: -.S_...r T�9e:— Jgl,3 6UU<C Y <br /> Permittee Name: B &B Excavating, Inc. p <br /> Address: y^ i ra- --'^^ I • 0. box- 52-3 <br /> Phone Number: (970) 926-3311 <br /> Fax Number: (970) 926-2344 <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 /> �" <br /> Signature of Corporate Officer or Owner <br /> 7ZS/h <br /> Date <br /> M'.VERMnW ASTERDOCUMENTSW-AF-01 <br />