2011-03-11_REPORT - M1998034 - Laserfiche WebLink

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??7 ?- W-F ANNUAL FEE and REPORT RE UEST PERMITTEE NAME: Y -Mountain Park Concrete, Inc. PERMIT NO.: /M-1998-034 ?? OPERATION NAME: Parshall Pit ANNIVERSARY DATE: March 17, 2011 ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) COUNTY: Grand RECEI eD MAR I 12011 ivlalon of Reclamation Mining S Safety , 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 shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation accomplished to -date and "during "the preceding year, new disturbances that are anticipated to occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach vour revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred during the previous year and no new changes to the previous vear's map are necessary, then no new may is required, provided that the Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: M. Joe Docheff, III Permittee Name: Mountain Park Concrete, Inc. Address: P.O. Box 856 Granby, CO 80446 Phone Number: (970) 887-3444 Fax Number: (970) 725-3444 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form alogg,with your vym?qm report and map. Annual Report instructions are enclosed. Date