2008-11-21_REPORT - M1996060 - Laserfiche WebLink

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D? ecs PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE ANNUAL FEE DUE: COUNTY: ANNUAL FEE-And PORT RE VEST O AH 11 Irwin Corporation Firestien Pit December 31, 2008 $$791.00 (Due on or before your anniversary date) Weld 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 upcornmg year,=reclarnation that will be-performed-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 vour 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 year's map 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: Jim McFarland Permittee Name: Hall Irwin Corporation Address: 301 Centennial Drive Milliken, CO 80543 Phone Number: _f970)-352-6057- Q -10 - 5 g 1 --k z -1 -1 Fax Number: f WOY- -i27- $x- -- (7 - 5 ? 1 - 1 Z B ?l If you have additional comments and/orinformation 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. of Owner, or Designee kkhlIIr Date