Laserfiche WebLink
n? <br />?AL FEE and REPORT REOUEST <br />PERMITTEE NAME: AW Chambers, LLC <br />PERMIT NO.: VM-2003-016 <br />OPERATION NAME: Heit Sand and Gravel Mine <br />ANNIVERSARY DATE: September 27, 2008 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Weld <br />"'SEP 18 2006 <br />Division or 1-W-ciarnation, <br />Mining and Safety <br />According to C.RS. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation <br />accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the upcoming <br />year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and <br />the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report may to this form The Annual Report & Fee <br />requirement is not met until we have received the following components: fee, report, and associated man. If no <br />new disturbances or reclamation have occurred during the revious year and no new char es to the previous <br />year's may are necessary, then no new map is required provided that the Operator shall state this in the Annual <br />Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary changes: <br />Permittee Contact: Mark D. Campbell <br />Permittee Name: SW Chambers, LLC <br />Address: 333 de ., to 810 <br />Engles 0110 <br />Phone Number: (303) 534-1040 <br />Fax Number: <br />7Z6o e-*- /D Rcf/R 2 n A D <br />STE. 3 70 - s <br />/ 6 Go <br />If you have additional comments and/or information that should be provided to the Division, please provide it below or <br />attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />D p' tZ47'o2 <br />j1O?? sA o cv.?,P?.v y i T? c. 7`/f?s <br />S' re -Corporate tcer, Owner, or Designee <br />Date ?? ???