2001-12-17_REPORT - M1983142

• Permit No: M1983142
• IBM Index Class Name: Report
• Doc Date: 12/17/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
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ANNUAL FEE and REPORT REQUEST
United Companies of Mesa County
M-1983-142
Hall Pit
December 21, 2001
RECEIVED
DEC 17 2001
Division of Minerals end Geology
$688.00 (Due on or before your anniversary date)
Mesa
According to C.R.S. 34-32.5-I 16 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 :tnd map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding year, new disturbances [fiat 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 vour revised written annual report and annual resort map to this form. Please tote that on
adequately labeled map drat clearly delineates and includes the above elements may sake for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Richard G. Johnson
Permittee Name: United Companies of Mesa County
Address: 2273 River Rd.
Grand Junction, CO 81505
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.
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Signature of Corporate Officer or Owner
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Date
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