2007-10-15_REPORT - M1978323

• Permit No: M1978323
• IBM Index Class Name: Report
• Doc Date: 10/15/2007
• Doc Name: Annual Fee/Report/Map
• From: Parkerson Construction Co.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~~~~~'i
ANNUAL FEE and REPORT REQUEST
~ Parkerson Construction Co.
~M-1978-323
Woodring Pit
November 22, 2007
$$791.00 (Due on or before your anniversary date)
Mesa
RECEIVED
-0CT 15 2001
~Sivision of Reclamation,
Mining and Safety
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 to affected land,
reclamation_accomplished tv date_and during the_preceding year, new disturbances that aze 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 yeaz, if any.
Please attach your revised written annual resort 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
ma If no new disturbances or reclamation have occurred durinc the previous year and no new chances to
the previous year's map are necessary, then no new map 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 since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact; Atan Pazkerson
Permittee Name: Parkerson Construction Co.
Address: 710 S. 15th St
Grand Junction, CO 81501
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 along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
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Date r -~~~