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2010-12-13_REPORT - M2006078
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2010-12-13_REPORT - M2006078
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Entry Properties
Last modified
8/20/2019 10:29:34 AM
Creation date
12/14/2010 7:40:23 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2006078
IBM Index Class Name
REPORT
Doc Date
12/13/2010
Doc Name
Annual Fee/Report/Map
From
Flatiron Constructors, Inc.
To
DRMS
Permit Index Doc Type
Annual Fee/Report
Email Name
MAC
Media Type
D
Archive
No
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y <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />P?.- <br />L ? I <br />A AL FEE and REPORT REQUEST <br />atiron Constructors, Inc. <br />?7X4 <br />006-078 <br />8 <br />-2 <br />Camenish Borrow <br />December 15, 2010 <br />$$504.00 (Due on or before your anniversary date) <br />Weld <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 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 changes 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 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: Justin DuMond <br />Permittee Name: Flatiron Constructors, Inc. <br />Address: P.O. Box 2239 <br />Longmont, CO 80504 <br />Phone Number: (303) 485-4050 <br />Fax Number: (303) 485-7684 <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 />Si ature of Corporate Officer, Owner, or Designee <br />Date
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