2002-01-22_REPORT - M1977023

• Permit No: M1977023
• IBM Index Class Name: Report
• Doc Date: 1/22/2002
• Doc Name: Annual Fee/Report/Map
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
III IIIIIIIIIIIIIIII
ANNUAL FEE and REPORT REQUEST
Valco Gunnison Concrete Division
M-1977-023
Ready Mix Pit
January 23, 2002
4~0
RECEIVED
JAN 2 2 2002
Division of Minerals and Geology
$658.00 (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 annual fee, a 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 vour revised written annual resort and annual resort map to this form. Please mote that an
adequately labeled map that clearly delineates attd includes the above elemeius may steffice for a K•ritten report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Ed Stewart
Permittee Name: Valco 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 i[
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
M ~PERMrM1ASTERD000MEMSVv1-AF-01
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