Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />P, g 0- WT- <br />ANNUAL FEE and REPORT REOUEST <br />Rio Blanco Coun <br />M-1999-040 <br />Red Wash Gravel Pit <br />May 17, 2009 <br />,? MAY ? ? 'c.???=? <br />p.maion of Bey ,amat?o:?, <br />Mf;?n?9 and Safety <br />$323.00 (Due on or before your anniversary date) <br />Rio Blanco <br />According to C.R S 34=3:2:5-116 or C.R.S..34z32_41.6,-each_year, on_ the anniversary date of the permit, -an.- <br />7 operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <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 your 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 year and no <br />new changes to the previous Year's map are necessary, then no new map is reauired. 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: David P. Morlan <br />Permittee Name: Rio Blanco County <br />Address: 570 2nd St. <br />Meeker, CO 81641 <br />Phone Number: (970) 878-9590 <br />Fax Number: (970) 878-3396 <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 />nature of Corporate Officer, Owner, or Designee <br />4-aa-o9 <br />Date <br />M: PERMITIMASTERDOCUMENTS\Nl-AF-04