Laserfiche WebLink
`~- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />,4NNiIAi. FF,F, and REPORT RF~iJF,RT <br />V /Corkle Construction <br />v M-1995-023 <br />Peterson Pit <br />June 8, 2006 <br />RECEI!/ED <br />,/ / MAY? 2 201 <br />" Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Jackson <br />V`r`'b'`~ 1 <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 bowing.-the.extenLof_cursent_disturbances_t~affe~Yed_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 ynnr revised written anmral report and anneal report mare 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: <br />Permittee Name: <br />Harry E. Corkle <br />Corkle Construction <br />Address: Box 306 <br />Walden, CO 80480 <br />Phone Number: (970) 723-4676 _ <br />Fax Number: (970) 723-3208 - <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, Owner, or Designee <br />~~-©~ <br />Date <br />