2003-09-29_REPORT - M1984156

• Permit No: M1984156
• IBM Index Class Name: Report
• Doc Date: 9/29/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

n_-.

,ANNED
~,
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Grand County
M-1984-156
Grand Cnty No 201 aka Scholl Gravel Pit
May 29, 2003
$688.00 (Due on or before your anniversary date)
Grand
RECEIVED
APR 2 3 2003
Biuision d Minerals anA GealO~e
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
- operatorshall~submit the annual-feed 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 ynnr revised written anm~al report and anneal report m~ 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 Contac[: M C. Branstetter
Permittee Name: Grand County
Address:
Phone Number:
Fax Number:
467 E. Topaz Ave.
P.O. Box 9
Granby, CO 80446
[phone]
[phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach i[ to this form along with your written report and map. Annual Report instructions are
enclosed.
Si~tature of Corporate Officer, Owner, or Designee
'~ la a I~
Date
M:~PERM171MASTERD000MFNTSU.I-AF-04