2008-08-27_REPORT - M1992038 - Laserfiche WebLink

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OK r? J ANNUAL FEE and PORT REQUEST 4UG 2 7 2008 Debision of R'ecla PERMITTEE NAME: Jones Fine Sand mation, PERMIT NO.: -4I-1992-038 OPERATION NAME: Sand Creek Mine ANNIVERSARY DATE: September 1, 2008 ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) COUNTY: Adams 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_accom lip shed to date and during the preceding year, new disturbances that are anticipated to occur during the upcoming year, reclamation_that wi1T be performed durtrg-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 during the previous year and no new changes to the previous vear's map are necessarv, then no new man is reauired, 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: Daren Palizzi Permittee Name: Jones Fine Sand Address: 5400 Forest St. Commerce City, CO 80022 _ Phone Number: (303) 289-1428 Fax Number: 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. ti Signature of Corporate Officer, Off, or Designee Date V -'V