2004-07-22_REPORT - M1980080

• Permit No: M1980080
• IBM Index Class Name: Report
• Doc Date: 7/22/2004
• Doc Name: Annual Fee/Report/Map
• From: Grand Junction Concrete Pipe Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMIT"I'EE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
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Grand Junction Concrete Pipe Co. RE(~~~~ytED
M-1980-080
Una Pit JUL 2 2 2004
July 24, 2004 Division of Minerals & GeeloAY
$688.00 (Due on or before your anniversary date)
Garfield
According to C.R.S. 34-32.5-116 or C.R.S _34~21LG,_each.year,-on_the.annivErsary.date-o~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 ynnr revised written anmral rennrt and annual ren~rt mar to this form- Please Hate that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following pennittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Edward J. Settle
Permittee Name: Grand Junction Concrete Pipe Co.
Address: P.O. Box 1849
Grand Junction, CO 81502
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide
below or attach it to this form along with your written report and map. Annua] Report instructions are enclosed.
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Signature o Corporate Officer, Owner, or Designee
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Date