2001-12-19_REPORT - M1984108

• Permit No: M1984108
• IBM Index Class Name: Report
• Doc Date: 12/19/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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.. ANNUAL FEE and REPORT REQUEST
ECEIVED
PERMITTEE NAME: Western Gravel, Inc. ~EC ~ 9 20~~
PERMIT NO.: M-1984-108
Div
ion of Minerals and Geology
OPERATION NAME: Olathe Pit
ANNNERSARY DATE: December 14, 2001
ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date)
COUNTY: Montrose
According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-I 16, each year, on the anniversary date oft a permit, an operator
shall submit [he annual fee, a report and map showing the extent of current disturban es to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that ar anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the d tes 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 maa to this form. Please tote that an
adequately labeled map drat clearly delineates mtd includes the above elements may suffice f r a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Joseph DeVincentis
Permittee Name: Western Gravel, Inc.
Address: 3001 N. Townsend Ave.
Montrose, CO 81401
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments andlor information that should be provided to the
below or attach it to this form along with your written report and map. Annual Report
~~
ignature of Corporate Officer or Owner
Date
isid~n, please provide it
ut ons are enclosed.
M.~PERMI-MIASTERDOCUMENTSNI-AF-0I