Laserfiche WebLink
+X #" Oft- <br />ANNUAL FEE and REPORT RE UEST <br />PERMITTEE NAME: Geroux Gravel <br />PERMIT NO.: M-2000-059 ? <br />OPERATION NAME: Geroux Gravel <br />ANNIVERSARY DATE: February 22, 2009 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Custer <br />c1? <br />FEB 0 9 K309 <br />Division of Reclamation, <br />Mining and Safety <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 that will be performed during the coming year, the 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 />map. If no new disturbances or reclamation have occurred during the previous year and no new chap e? s to <br />the previous year's map 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 suff ce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Darrell Geroux <br />Permittee Name: <br />Address: <br />Geroux Gravel <br />1100 CR 160 <br />Westcliffe, CO 81252 <br />Phone Number: (719) 783-2709 <br />Fax Number: (719) 783-2709 <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, Owner', or Designee <br />-?2_ A 91 <br />Date