2003-10-30_REPORT - M1981132

• Permit No: M1981132
• IBM Index Class Name: Report
• Doc Date: 10/30/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~:.
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:

Valco Lamar Concrete Division
M-1981-132
Lamar West Pit
November 5, 2003
RECEIVED
OCT 3 02003
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Prowers
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
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 rennrt m ~n 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 Wayne Adams
Permittee Name: Valco Lamar Concrete Division
Address: P.O. Box 591
Lamar, CO 81052
---Plione Niunbe% _ [phone] ~~ ____ Y
Fax Number: [phone]
If you have additional comments and/or information that should be provided to [he Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
G~/rti l/~ak~
Signature of Corporate Officer, Owner, or Designee
Date
M:\PERMIiU1ASTERD000M ENTSUI-AF-04