REP09535

• Permit No: M1986105
• IBM Index Class Name: Report
• Doc Date: 8/20/2002
• Doc Name: 2002 Annual Report
• From: Dilleys Sand & Gravel
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Dilleys Sand & Gravel
M-1986-105
Vondy Pit
August 29, 2002
RECEIVED
AUG 2 0.2002
Division of Minerals and Geology
$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
__shal] submit the annual fee, a report and_map_showing_the extent_gf_current, disturbances _to_.affected_land, __
reclamation accomplished to date and during the preceding year, new disturbances that aze anticipated to occur
during the upcoming yeaz, 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 vour revised written annual report and annual report map to this form. Please rase 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: Vernon Dilley
Permittee Name: Dilleys Sand & Gravel
Address: 1914 Edmunds St.
P.O. Box 125
Phone Number:
Fax Number:
Brush, CO 80723
[phone]
[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 aze enclosed.
S gnature of Corporate Officer o caner
Date
M:~PERM171MASTERD000MENTSNI-AF-01