REP04015

• Permit No: M1981243
• IBM Index Class Name: Report
• Doc Date: 2/18/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
FEB 18, 2003
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Grand Junction Concrete Pipe Co.
M-1981-243
S Fruita Grav Pit
February 16,2003
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Mesa
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 Jand~
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 annnal report and annual re~yt main to this fnrm_ 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
Phone Number:
Fax Number:
Grand Junction, CO 81502
[phone]
[phone]
If you have additional comments and/or information [hat 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' f Corporate Officer, Owner, or Designee
2_ t2-`Z9d~
Date
M:IPERMITNIASTERDOCUMENTSUI-AF-01