2011-04-27_REPORT - M1984028 - Laserfiche WebLink

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kff 10--? ? A A FEE and REPORT REQUEST AN ' RECEIVED PERMITTEE NAME: ezza Limited Family Partnership D ApR r Z" I PERMIT NO.: -1984-028 OPERATION NAME: Direzza Pit ivision of Reclamation, Mining & Safety ANNIVERSARY DATE: May 1, 2011 ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) COUNTY: Bent 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_d_uring 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 your revised written annual report and annual report man 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 year's map are necessary, then no new map 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 suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Daniel DiRezza Permittee Name: Direzza Limited Family Partnership Address: 4815 Hwy 194 Las Animas, CO 81054-9411 Phone Number: (719) 456-2266 Fax Number: (719) 456-2266 If you e belo or a Signature of --? Date additional comments and/or information that should be provided to the Division, please provide it pt* 71Z g wiyour written report and map. Annual Report inre t er, Owner, or Designee 11A . 0 ///