Laserfiche WebLink
q~ 5 ,~/ ~~ <br />V %~,~/ <br />ANNliAI. FF,F. 9nd RF.PnRT RF,niJF.ST <br />PERMITTEE NAME: Logan County Q~~ Q <br />PERMIT NO.: M-1995-063 p• ~ • t 1U~4 <br />OPERATION NAME: Schumacher Pit tuts~unutryj'"erelsggao/agy <br />ANNIVERSARY DATE: September 15, 2004 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Logan <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 />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <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 attarh ymm revised written annnal report and annual rennrt main to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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: <br />Byron D. Hickox <br />Permittee Name: <br />Address: <br />Logan County <br />315 Main St., Ste. 2 <br />Sterling, CO 80751 <br />Phone Number: (970) 522-7879 <br />Fax Number: (970) 522-4018 <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 <br />enclosed. <br />Signa re of Corporate Ofd er, Owner, or Designee <br />/~ D~ <br />Date <br />M:~PERMITMASTEADOCUMENTS~hI-AF-04 <br />