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;;. <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Parkerson Construction, Inc. <br />M-1981-229 <br />Valley Vista Pit <br />December 18, 2002 <br />RECEIVED <br />DEC l ~ ?002 <br />Division el Minerals and CeologY <br />$688.00 (Due on or before your anniversary date) <br />Mesa <br />According to C,R.S. 34-32.5-] 16 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />rec}amatti~en.-aceamplished°to-date-and~ii nringthz-prece~g ear, riew dfist-iirbances'--tfiat are anticipated to'occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and [he date active operations ceased for [he year, if any. <br />Please attach your revised written annual report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Alan Parkerson <br />Permittee Name: Parkerson Construction, Inc. <br />Address: 710 S. 15th St. <br />Grand Junction, CO 81501 <br />Phone Number: (970) 242-8134 <br />Fax Number: (970) 242-8977 - - <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~L-~iw" "GS2~GsGrlr-- <br />Signature of Corporate Officer, Owner, or Designee <br />~/ `/ai <br />Date <br />M: PER MITIMASTERDOCUMENTSIM-AF-OI <br />