2006-01-19_REPORT - M1977023

• Permit No: M1977023
• IBM Index Class Name: Report
• Doc Date: 1/19/2006
• Doc Name: Annual Fee/Report/Map
• From: Valco Gunnison Concrete Division
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

rM
RE~'~aVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNTiAi. FF.F, and RF,PORT RF.niTF.ST
r/ Valco Gunnison Concrete Division
r/ M-1977-023
Ready Mix Pit
January 23, 2006
JAN 19 2006
!/Division of Minerals and Geology
$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
-- shall submit the annua ee, of 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 ymm revised written anneal re~nrt and anm~al rennrt mat to this fnrm_ 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: Valeo 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, or Designee
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Date