Laserfiche WebLink
PERMITTEE NAME: .G. Everist, Inc. <br />PERMIT NO.: - 2001 -017 <br />i�It rs, .. ... wsrratit, <br />OPERATION NAME: Lohmann Sand and Gravel Mine Mining arid Safety <br />ANNIVERSARY DATE: September 19, 2011 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: 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 year, new disturbances that are anticipated to occur_ <br />during-the upcoming- year, that wilrbe 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: Lynn M. Shults <br />Permittee Name: <br />Address: <br />Phone Number: (303) 287 -4656 <br />Fax Number: (303) 289 -1348 <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 />Signature of Corporate Officer, orp <br />Date <br />0 q(Ai/2.0 <br />L.G. Everist, Inc. <br />7321 E. 88th Ave., Ste 200 <br />Regulatory Manager <br />Henderson, CO 80640 <br />ANNUAL <br />kF <br />FEL and RE ORT REQUEST <br />Ama <br />ec S <br />✓ SEp10 2011 <br />