2002-01-07_REPORT - M1979010

• Permit No: M1979010
• IBM Index Class Name: Report
• Doc Date: 1/7/2002
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

iii iiiiiiii~iiu~u ~°~
999
ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: ACA Products, lne. RECEIVED
PERMIT NO.: M-1979-010 ,AN O 7 ~2
OPERATION NAME: Avery Const Pit
nd Geology
t
t: a
~niilon ~ Vi~era
ANNIVERSARY DATE: January 15, 2002
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Chaffee
According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-1 lb, 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 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 your revised written annual report and annual report map to this form. P/ease mote that an
adequately labeled mnp 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:
Permit[ee Contact: Chuck Murphy
Permittee Name: ACA Products, Inc.
Address: P.O. Box 1887
Buena Vista, CO 81211
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.
-1 its t~..~
Signature of Corpora ficer or Owner
~.~-OZ
Dale
M' W ERMmh1ASTER~000MEKr5N7-AF-01