Laserfiche WebLink
e)k <br />p? S <br />AN /W?AFEE and REPORT RE VEST <br />PERMITTEE NAME: ?Zan County PERMIT NO.: 978-249 SEP 17 2009 <br />OPERATION NAME: Kokes Gravel Pit Division or Reclam2601% <br />ANNIVERSARY DATE: October 1, 2009 -/-0 Miming and Safety <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Logan <br />According to C.R.S. 34-32.57116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit,_ an <br />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 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 year and no <br />new chances to the previous vear's map are necessary, 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: Kris Pennington <br />Permittee Name: <br />Logan County <br />Address <br />315 Main St., Ste. 2 <br />Sterling, CO 80751 <br />Phone Number: (970) 522-7879 <br />Fax Number: (970) 522-4018 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or atta o-th' orm along with your written report and map. Annual Report instructions are <br />enclosed. <br />Sign ure of Corporate Officer, Owner, or Designee <br />`Zoo 1 <br />Date <br />M:IPERMITVMASTERDOCUMENTS\M-AF-04