2007-06-28_REPORT - M1981014

• Permit No: M1981014
• IBM Index Class Name: Report
• Doc Date: 6/28/2007
• Doc Name: Annual Fee/Report/Map
• From: Valco Gunnison Concrete Division
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~~;~2Pi
ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Valco Gunnison Concrete Division
~M-1981-014
Rozman Pit
June 29, 2007
RECEIVED
~ lJUN 2 8 2007
/Division of Reclamation,
Mining and Safety
$$688.00 (Due on or before your anniversary date)
Gunnison
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
'shad-submit-thc-armual-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 map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
maa. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to
t_he previous year's maa are necessary. then no new maa is required, provided that the Operator shall state
this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes 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: Ed Stewart
Permittee Name: Valco Gunnison Concrete Division
Address: P.O. Box 837
Gunnison, CO 81230
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.
Signature of Corporate Officer, Owner, o Dser~gctee
Date