2003-09-02_REPORT - M1981112

• Permit No: M1981112
• IBM Index Class Name: Report
• Doc Date: 9/2/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

'_

RECEIVE[
SEP 0 2 20~
Division of Minerals ~Qd G .r'~rly
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Builders Aggregate Company, Inc.
M-1981-112
Builders Aggr Pit
September 1, 2003
$281.00 (Due on or before your anniversary date)
Morgan
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_ annuaLee,_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 ynnr revised written anneal rennet and anneal re~nrt m ~n to this form. Please note that an
adequately labeled map that clearly delineates and dncludes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: James S. Miner
Permittee Name: Builders Aggregate Company, Inc.
Address: 915 W. Beaver Ave.
Ft Morgan, CO 80701
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.
~ .~ ~~~~
gnature of Corporate Officer, Owner, or Designee
~'icg, /~ ~®a~
Date
RECEIVED
SEP 0 2 2J~3
Division of Minerals and C,eology
M:~PERM ITMASTERDOCUMENTSVv1-AF-01