2001-02-12_REPORT - M1995005

• Permit No: M1995005
• IBM Index Class Name: Report
• Doc Date: 2/12/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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999 RECEIVED
ANNUAL FEE and REPORT REQUEST
FEB 12 2001
PERMITTEE NAME: Mountain Region Corporation Division of Minerals and Geology
PERMIT NO.: M-1995-005
OPERATION NAME: Orchard Mesa Aggr
ANNIVERSARY DATE: February 16,2001
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Mesa
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
operator shall submit the annual fee, 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 your revised written annual report and annual report may to this form. Please note that an
adequately laheled map that clearly delineates and includes the ahove elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Sandra R. DuCray
Permittee Name: Mountain Region Corporation
Address: 117 - 29 3/4 Rd.
Grand Junction, CO 81503
Phone Number: [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.
&I p
Signature of Corporate Offi e or Owner (/
Date
M.TERMI'M15STERDOCU NtENTS�M-AF-01