2005-10-20_REPORT - M1981013

• Permit No: M1981013
• IBM Index Class Name: Report
• Doc Date: 10/20/2005
• Doc Name: Annual Fee/Report/Map
• From: Nichols Gravel Pit L.L.P.
• To: DMG
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~i' hols Gravel Pit, L.L.P.
~iI-1981-013
Nichols Gravel Pit
October 21, 2005
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RECEIVED
t~CT 2 02005
Y(0ivision of Minerals end Geology
$688.00 (Due ou or before your anniversary date)
Mesa
_ _ _. According_to_C.R.S._34-32 5-116 or C.R.S. 34-32-116, each y_ea ~ 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 Xnnr revised written anneal re~nnrt and annual rennrt mgp to this Snrm_ Please note that an
adequately labeled map that clearly delineates and includes the above edements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: John Nichols
Permittee Name: Nichols Gravel Pit, L.L.P.
Address: P.O. Box 285
Phone Number:
Fax Number:
Mesa, CO 81643
[phone]
[phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this~rm along with your written report and map. Annual Report instructions are enclosed.
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Date