2007-03-13_REPORT - M1989009 - Laserfiche WebLink

Home Browse Search

~~~ ANNUAL FEE and REPORT REpUEST PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNNERSARY DATE: ANNUAL FEE DUE: COUNTY: / J-Rude, Inc. ~M-1989-009 J-Rude Inc March 17, 2007 r~A~ ~ ~ zA~~ D victon c; :.. • ' ~, t~~fir Mir.:rc r~C ~c;~~ $$281.00 (Due on or before your anniversary date) Prowers 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 ' _ . _ shall _ submit. the_ annuaLfee,..a_report_and man_sh~wing_the extent_oLcurrent_disturbances_to_.affected_land,.__. ~ _ _ _ reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur I during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach your revised written annual report and annual resort man to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred during the urevious year and no new chances to the urevious year's map are necessary, then no new map is required, provided that the Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Rudy Torres Permittee Name: J-Rude, Inc. Address: 1750 CR HH Phone Number: Fax Number: If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this farm along with your written report and map. Annual Report instructions are enclosed. <1 ~~ Sigq re/of orporate Officer, Owner, or Designee Date Lamar, CO 81052 (719)336-7361