Laserfiche WebLink
~6z <br />~~ <br />ANNUf1I. FED and REPORT REQUEST <br />PERMITTEE NAME: Park County <br />PERMIT NO.: FYI-1995-021 <br />(/ <br />OPERATION NAME: Chaparral Pit <br />ANNIVERSARY DATE: Apri124, 2008 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Park <br />~ ~ <br />~A Ed <br />R 2 5 ZOOg <br />~VMinin u, r<ecia~pation, <br />9 and Safety <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 attach your revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: Jim Linn <br />Permittee Name: Park County <br />Address: P.O. Box 147 <br />Fairplay, CO 80440 <br />Phone Number: (719) 836-4283 <br />Fax Number: (719) 836-4275 <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 />enclo <br />G i <br />igna re of Corporate Off e ,Owner, or Designee <br />,3/?o~b f~ <br />Date <br />M:~PERMIT~IVIASTERDOCUMENTSU~I-AF-04 <br />