Laserfiche WebLink
1 ~ <br />f] <br />.• . III III'llllllllllll <br />ANNUAL FEE and REPORT REQUEST <br />RECEIVED <br />PERMITTEE NAME: James H & Kathleen H Ross <br />PERMIT NO.: M-1990-134 MAR 2 1 1001 <br />OPERATION NAME: Ross Pit ~~ Division ai Minerals and Geology <br />ANNIVERSARY DATE: April 10, 2001 CCI.~~ eol fo r <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) (~Ot_ ~ '"'V-1 d` <br />COUNTY: Moffat d` <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, apt <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 [he year, if any. <br />Please attach your revised written annual report and annual report maa to this form. Please mote rlrar an <br />adequately labeled map that clearly delineates and includes the above elements may s:ffce 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: Bud Bower <br />Permittee Name: James H & Kathleen H Ross <br />Address: 595 Taylor St. <br />Craig, CO 81625 <br />Phone Number: (970) 824-2793 <br />Fax Number: (970) 824-9410 <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 />Si nature o Corporate Officer or Owner <br />~ - ~~^ d <br />Date <br />M'1pERhU IIMASTERDOCUMENTSUI-AF-01 <br />