Laserfiche WebLink
ANNUAL FEE and REPORT REQUEST <br /> <br />PERMITTEE NAME: AKiowa County <br />PERMIT NO.: -1991-078 <br />"? <br />JAN 16 2009 <br />OPERATION NAME: Peters Pit gpivision of Reclamation, <br />ANNIVERSARY DATE: February 4, 2009 _ <br />7tl Mining and Safety <br />ANNUAL FEE DUE: $$323.00 (Due on or before yo ur anniversary date) <br />COUNTY: Crowley <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 <br />?. operator-shall-submit-the-annual-fee--w-report -and map-showing the--extent of-current distur-bances-to-af€ec-ted--- <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous near and no <br />new changes to the previous vear's map are necessarv, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rick Spady <br />Permittee Name: Kiowa County <br />Address: P.O. Box 100 <br />Phone Number: <br />Fax Number: <br />Eads, CO 81036 <br />(719) 438-5810 <br />(719) 438-5327 <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 <br />enclosed. <br />Signature of Corp ate Of er, Owner, or Designee <br />/- <br />Date <br />M: U'ERMI T\MASTERDOC UMENTSW-AF-04