2003-06-17_REPORT - M1976032

• Permit No: M1976032
• IBM Index Class Name: Report
• Doc Date: 6/17/2003
• Doc Name: Annual Fee/Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Telluride Gravel, Inc.
M-1976-032
Alexander Pit
June 17, 2003
RECEIVED
JUN 1 7 2003
Division ~I Minerals and Geology
$688.00 (Due on or before your anniversary date)
San Miguel
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 [he 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 [he 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 annual rennrt and annnal re nn rt m ~n trt chic 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: D e
Permittee Name: Telluride Gravel, Inc.
Address: P.O. Drawer (/~
Cortez, CO 81321
(32El~ {-t o /~ A
Phone Number:
Fax Number:
[phone]
[phone]
If you have additional comments andlor information that should be provided to the Division, please provide it
below or attach it [o this form along with your written report and map. Annual Report instructions are enclosed.
,,//
l /~OMAttJ GENERAL /~1An/A[~2
Signature orporate Officer, Owner, or Designee ~
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Datel ~
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