2011-06-15_REPORT - M1991073 - Laserfiche WebLink

Home Browse Search

ANN ffArEEand REPORT REQUEST P PERMITTEE NAME: Kiowa County PERMIT NO.: &--M'-1991-073 OPERATION NAME: Ferris Pit ANNIVERSARY DATE: July 12, 2011 ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) COUNTY: Cheyenne RECEIV50 dUN 15 2011 Division of Keeiamation, * Mining and 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 reporf and map`sTiowi'ng th-U-rxte---..... 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 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 vear's man are necessarv, then no new man is reuuired. 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: Permittee Name Address: Phone Number: Rick Spady Kiowa County P.O. Box 100 Eads, CO 81036 (719) 438-5810 Fax Number: (719) 438-5327 cam, ?„ 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 along with your written report and map. Annual Report instructions are enclosed. Si ature of Corpor Office wner, or Designee Date M: \PERMITIMA STERDOCUMENTSM-AF-04