2001-01-11_REPORT - M1979010

• Permit No: M1979010
• IBM Index Class Name: Report
• Doc Date: 1/11/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: ACA Products,Inc. RECEIVED
PERMIT NO.: V#1AW""W" JAN 1 12001
OPERATION NAME: Avery Const Pit
Division of Minerals and Geology
ANNIVERSARY DATE: January 15,2001
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Chaffee
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 your revised written annual report and annual report map to this form. Please rote that an
adequately labeled snap that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following pernittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Chuck Murphy
Pernittee Name: ACA Products, Inc.
Address: P.O. Box 1887
Buena Vista, CO 81211
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.
Signature of Corpora e r Owner
Date
M�PERMIT)MASTERD000A7ENTSW-AF-01