2002-12-16_REPORT - M1984108

• Permit No: M1984108
• IBM Index Class Name: Report
• Doc Date: 12/16/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNPJERSARY DATE
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REpUEST
Western Gravel, Inc.
M-1984-108
Olathe Pit
December 14, 2002
$281.00 (Due on or before your anniversary date)
Montrose
RECEIVED
DEC 1 6 2002
Division of Minerals and GeoWlry
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,
'- ~eclamafion accom tp shed-to date and dwing the preceding year,-ne`w dismTtiances that are an3icipated~o 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 vour revised written annual report and annual resort map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes: `~~
Permittee Contact: Joseph DeVincen[is
Permittee Name: Western Gravel, Inc.
Address: 3001 N. Townsend Ave.
Montrose, CO 81401
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 instmctions are enclosed.
Owner, or Designee
Date
M:~PERMITVNASTERDOCUMENTSNI-AF-01