2005-05-02_REPORT - M1999007

• Permit No: M1999007
• IBM Index Class Name: Report
• Doc Date: 5/2/2005
• Doc Name: Annual Fee/Report/Map
• From: Ace West Trucking Inc
• 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:
Ace West Trucking, Inc.
M-1999-007
North River Gravel Pit Extension
Apri12$, 2005
$281.00 (Due on or before your anniversary date)
Rio Blanco
M~!` 0 2 2605
Division of Minerel.> ~ Geology
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 annual fee, a report and map showing the extent of current disturbances toaffecte_d_ land,
_ _ _ -recla;nation-aeeompli;hed-to-date-arrd-during-the"precediii~}Tear, new ~sturbanc` e~~a are annc~pate 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 xpnr revised written anmral report and anneal report man to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Donald O. Rooks, Jr.
Permittee Name: Ace West Trucking, Inc.
Address: P.O. Box 250
Rangely, CO 81648
Phone Number: [phone]
Faz Number: '7~'~t~~ -
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.
)~a4 ~ c~ ~~ ~,~~
Signature of Corporate Officer, Owner, or Designee
~~-D_S
Date
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