2006-12-01_REPORT - M1977443

• Permit No: M1977443
• IBM Index Class Name: Report
• Doc Date: 12/1/2006
• Doc Name: Annual Fee/Report/Map
• From: Hardrock Sand and Gravel
• To: DRMS
• Media Type: D
• Archive: No

~PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT UEST
Hardrock Sand and Gravel
977-443
Moon Pit No 2
November 8, 2006
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$281.00 (Due on or before your anniversary date)
Moffat
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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,
- --rectamaho`n accomp-lisfied-to date a`nd' unnd -" g t t] a preceding year, new ~rurb-ances that are antic- pate~c 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 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 nrevious veer and no new chances to
the nrevious year's mao are necessary, then no new map is required, provided that the Operator shall state
this in the Annual Report. Please note that an adeguatedy labeled map that clearly delineates and includes the
above elements may since for a written report.
Division records indicate the following pennittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Pat J. Weber
Permittee Name: Hardrock Sand and Gravel
Address: P.O. Box 141
Craig, CO 81626
Phone Number: [phone]
Fax Number: [phone]
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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.
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Signa a of Corp rate Officer, Owner, or Designee
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