Laserfiche WebLink
. -; <br />:~ j. <br />,. <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br /> <br />c <br />~'~~~~ <br />r <br />ANNUAL FEE and REPORT REQUEST <br />;/Connell Resources, Inc. <br />~M-1995-035 <br />Wellington Downs Pit <br />January 22, 2008 <br />~~~~®® <br />~N 2 8 2008 <br />' sion of keciarnation, <br />Mining and Safety <br />$$791.00 (Due on or before your anniversary date) <br />--~""-~0 anmer <br />M <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 showing the extent of current disturbances to affected 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 your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />mau. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's man are necessary. then no new man is reauired. provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Richar onnell <br />Permittee Name: Connell Resources, Inc. ,,n '/ <br />Address: ~438~F1s~e~P~ 7 778J~ f~~' {t ~ah~ /„~ k!S arK ~~~ <br />,~. ::. <br />.." ; ~. .. <br />" ,.,,;.-Fort Collins, CO 80528. - . - ---. ~ - ~ - ,•~ ~ ~ ~, <br />Phone Number: <br />Fax Number: <br />(970) 223-3151 <br />(970) 223-3191 <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,,e//nclosed. <br />f~~~ rec~ama~r'on. Wr~ o r- Thr 5 SiT~ <br />ignature of Corporate Officer, Owner, or Designee ~5 ,~j e~° yl eom~ ~ >? . , <br />~_~~ off' <br />~s ~no w~a ~~~~~~ <br />Date <br />