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2009-12-16_REPORT - M1983089
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2009-12-16_REPORT - M1983089
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Entry Properties
Last modified
8/20/2019 10:25:35 AM
Creation date
12/18/2009 7:21:50 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983089
IBM Index Class Name
REPORT
Doc Date
12/16/2009
Doc Name
Annual Fee/Report/Map
From
Douglas County Sand & Gravel, LLC
To
DRMS
Permit Index Doc Type
Annual Fee/Report
Email Name
DB2
Media Type
D
Archive
No
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I <br />ANNUAL FEE and RE ORT REOUEST <br />PERMITTEE NAME: ouglas County Sand & Gravel, LLC <br />PERMIT NO.: M- 1983 -089 <br />OPERATION NAME: Douglas County Sand & Gravel <br />ANNIVERSARY DATE: November 8, 2009 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Douglas <br />Wa Z_ <br />J <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 y ear, 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 vour 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 changes to <br />the previous vear'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 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: John Miner <br />�e 5 7 7 'Y <br />Permittee Name: Douglas County Sand & Gravel, LLC <br />Address: P.O. Box 966 <br />Castle Rock, CO 80104 <br />Phone Number: (303) 681 -2696 <br />Fax Number: (303) 681 -0320 <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 />JJ S'ignature ZCorporate Officer, Owner, or Designee <br />Date <br />
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