2005-07-17_REPORT - M1976032

• Permit No: M1976032
• IBM Index Class Name: Report
• Doc Date: 7/17/2005
• Doc Name: Annual Fee/Report/Map
• From: telluride gravel inc
• To: dmg
• Media Type: D
• Archive: No

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ANNTiAT, FF.F, and REPORT RF.niTFST RECEI~/Ep
PERMTTTEE NAME: Telluride Gravel, Inc. SUN ~ 7 2~~
PERMIT NO.: M-1976-032 Division of Minerals and GeoloAY
OPERATION NAME: Alexander Pit
ANNNERSARY DATE: June 17, 2005
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: San Miguel
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 attaches our revised written annnal red nrt and annual re~nrt m to this form. Please note thal an
adequately labeled map that clearly delineates and includes the above elements may sufftce for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Greg Homan, General Manager
Permittee Name: Telluride Gravel, Inc.
Address: P.O. Box U
Phone Number:
Cortez, CO 81321
[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 Corporate Officer, Owner, or Designee
G - ~¢-D~
Date