Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <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 />shalLsubmit the_atmual~e~,_a repotl_and maQ 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 vour 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 permi[tee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Brent Tamburelli <br />Permittee Name: Tamrock Gravel <br />Address: 137 Plum <br />Phone Number; <br />Fax Number: <br />ANNUAL FEE and REPORT REQUEST <br />Tamrock Gravel <br />M-2001-068 <br />Bottomless Pit <br />September 17, 2002 <br />RECEIVED <br />SEP p 6 ~ <br />~i~ision of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Las Animas <br />Trinidad, CO 81082 <br />(719)846-3034 <br />(719)846-3034 <br />If you have additional comments and/or information that should be provided [o 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 />~~ ~ ~ r- <br />Signature of Corporate Officer, Owner, or Designee <br />Date <br />M:~PERM IT~MASTERDOCUM ENTSNr-AF-01 <br />