Laserfiche WebLink
A r *- 2PT- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />r <br />Alamosa County <br />M-2001-108 <br />Alamosa County Pit No. 1 <br />February 22, 2010 <br />RF-CRIVE-D <br />.,/ FEB 01 2010 <br />Division of Reclamation, <br />Mining and Safety <br />$323.00 (Due on or before your anniversary date) <br />Conejos <br />-34e,?rYn,? thP.annice*e? Ala+P_nf_the,x? rm; y- ?. .-- <br />nch <br />AccQrd_ing. o_ 5X4_32 5-1j16_or-r-R S 3 11b, a <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 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 may 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: Phil West <br />Permittee Name: Alamosa County <br />Address: 8663 S. CR 109 <br /> Alamosa, CO 81101 <br />Phone Number: (719) 589-6262 <br />Fax Number: (719) 589-6063 <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 />Signatu of o orate Officer, Owner, or Designee <br />Date <br />M:\PERNIFnMASTERDOCUMENTS\M-AF-04