Laserfiche WebLink
Rug 14 08 11:45a <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNWERSARY DATE: <br />p.2 <br />V <br />17 <br />?,,? 0 <br />'BUG 2 9 200 ??J <br />Divi`tsjoii Qi i ?' i _L 1 `e1flYt, <br />and Se v, <br />A/?NNUAL FEE and REPORT REQUEST <br />& S Services <br />,4-2007-034 <br />Lopez Quarry No. 2 <br />September 7, 2008 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Las Animas <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-ffW*M-be-performed during-the-coming year, tine 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 />pa g. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's may are necessary, then no new map is required 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 since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Richard S. Lopez <br />Permittee Name: S & S Services <br />Address: 19901 State Hwy. 12 <br />Weston, CO 81091 <br />Phone Number. (719) 868-3307 <br />Fax Number. (719) 868-3004 <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 enclosed. <br />Signature of Corporate Officer, O er, or Designee <br />Date