2008-07-07_REPORT - M1996031 - Laserfiche WebLink

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ANNU L_ rEan@tREP01RT1ST PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: Sutherland Brothers, Inc. Y-1996-031 Weimer No. 2 July 2, 2008 $$323.00 (Due on or before your anniversary date) Montrose OK tie 72008 01 1 ni; ot 8 and $ar4 on. 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 annual fee, a report and map showing the extent of current disturbances to affected land, reclamation accomplished to date and,during the preceding year, new disturbances that are anticipated to occur during the upcoming year, reclamation that wilTbe perrT rmea-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 report map 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 durin the previous year and no new changes to the previous year's may are necessary, then no new may 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: Bob S rland Permittee Name: Sutherland Brothers, Inc. Address: P.O. Box 889 Nucla, CO 81424 - - - - Phone Number: (970) 864-7662 Fax Number: (970) 864-7980 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. Signature of rpo e Officer, Owner, or Designee Date