2007-07-20_REPORT - M1980080

• Permit No: M1980080
• IBM Index Class Name: Report
• Doc Date: 7/20/2007
• Doc Name: Annual Fee/Report/Map
• From: Grand Junction Concrete Pipe Co.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~,~Pr
ANNUAL SEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSAR't' DATE:
ANNUAL FEE DUE:
COUNTY:
Grand Junction Concrete Pipe Co.
~M-1980-080
Una Pit
July 24, 2007

R~c~j~Ep
'tJUC 2 0 2007
bivfsion of ReGamabon,
Mining and Safety
//~' $$G88:60 (Due on or before your anniversary date)
G Garfield
According_to_C.R_S_3.4_32.5=1.16_or_C.R.5.34_32_L16,.each_year,.on_the_annixersary_date_of the permit,.an operator _
shall submit the annual fee, a report and map showing the extent of current disturbances to affected sand,
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 vour revised written annual report and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred during the previous year and no new changes to
the previous year's map are necessary, then no new map is required, provided that the Operator shall state
this in the Annual Report. Please note that mi 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;
Penrrittee 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 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 instructions are enclosed.
Signature of rporate Officer, Owner, or Designee
~~~~
Date