Laserfiche WebLink
' ~w- <br />~ ANNUAL FEE and REPORT REQUEST <br /> <br />PERMITTEENAME: <br />/KiowaCounty ~.- <br />REC~& " <br />PERMIT NO.: f/ M-2000-048 /~U~ ~ 7 Z~ <br />OPERATION NAME: Schmidt Gravel Pit <br /> <br />ANNNERSARY DATE: <br />August 28, 2006 Division of Minere,_ <.._ _... <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Kiowa <br />~~ <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, 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 tti date and during the preceding year, riew 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 attach your revised written annual report and annual report mau 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: Allen W. Watts <br />Permittee Name: Kiowa County <br />Address: <br />Phone Number: <br />Fax Number: <br />CF.PR.address_1 <br />P.O. Box 100 <br />Eads, CO 81036 <br />(719) 438-5810 <br />(719)438-5327 <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 />S' afore of Corporate Officer, Owner, or Designee <br />7- //- G(o <br />Date <br />MiPERMIIiMASTERDOClIMENTS\M.AF-04 <br />