2003-01-27_REPORT - M1986160

• Permit No: M1986160
• IBM Index Class Name: Report
• Doc Date: 1/27/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Parkerson Construction Co.
M-1986-160
Sunny Side Gravel Pt
February 17, 2003
$281.00 (Due on or before your anniversary date)
Mesa
RECEIVED
JAN 2 7 2003
Oiuision of Minerals and Ceelogy
Accordine to C.R.S. 34-32.5=116 or C.R.S. 34-32-116,_e_achyear, on the_anniversary date o£the_pemut,an.operator_._ _
shall submit the annual fee, a report and map showing t- el~exfent of curPent'distu~r ~nc~~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 your revised written annnal re~nrt and anmlal re nn rt m ~n to this fnrm_ Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Alan Parkerson
Permittee Name: Parkerson Construction Co.
Address: 710 S. 15th St.
Grand Junction, CO 81501
PhoneNumberr- [phone] _ _ _ -- ___
Fax Number: [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 C orate Officer, Owner, or Designee
~~~//~s
Dat~_ 7
M:~PERMITU7ASTERDOCUMENTS~M-AF-01