2005-02-28_REPORT - M1981243

• Permit No: M1981243
• IBM Index Class Name: Report
• Doc Date: 2/28/2005
• 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

... _:..
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Grand Junction Concrete Pipe Co.
M-1981-243
S Fruita Grav Pit
February 16, 2005
$688.00 (Due on or before your anniversary date)
Mesa
RECEIVE®
FEB 2 8 20~
Giviaian of Minerals and Gealagy
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 accomp ish~date and during-the prei;eding-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 xgnr revised written annnal rennrt and annnal ren~rt mar to this form. 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: 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 it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
Signature of orporate Officer, Owner, or Designee
2-zq._o~
Date