2003-07-20_REPORT - M1976038

• Permit No: M1976038
• IBM Index Class Name: Report
• Doc Date: 7/20/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

v
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Meeker Sand and Gravel, Inc
M-1976-038
Meeker Pit
July 25, 2003
$688.00 (Due on or before your anniversary date)
Rio Blanco
RECEIVED
JUL 2 8 2003
Division of Minerals anA Dealogy
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-aceemplished-to-date-and-during-the-preceding year, new disturbances that-are-anticipated-to-eecur- -
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 ynnr revised written anneal rennrt and anneal repnrf m,~ 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: Joe P. Corrado
Permittee Name: Meeker Sand and Gravel, Inc
Address: P. O. Box 1550
Meeker, CO 81641
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.
lure of Corporate Officer, Owner, or Designee
Date
M iPERMIT~MASTERDOCUM ENTSVv7-AF-01