Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />J <br />Ace West Trucking, Inc. <br />M-1987-103 <br />East Douglas Pit <br />August 24, 2003 <br />RECEIVED <br />~•~G 19 2003 <br />BiVision ei ;.9irerals and Geolo9Y <br />$281.00 (Due on or before your anniversary date) <br />Rio Blanco <br />to C.R.S. 34-32.5-116 or C.R.S. <br />date of the permit, an <br />snap supma me annuat ree, a report ana map snowing me extent or current atsmroances to anectea tans, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ym~r revised written annnal rennrt and annual rennrt m ~n to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Donald O. Rooks, Jr. <br />Permittee Name: Ace West Trucking, Inc. <br />Address: P. O. Box 250 <br />Rangely, CO 81648 <br />P_hotte_Number~-(970)-675-2253 . - <br />Fax Number: (970) 675-2702 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~Q" ~"'K~ O _ '~ 11_ <br />Signature of Corporate Officer, Owner, or ignee <br />8 -~3-03 , <br />Date <br />M:~PERMITUTASTERDOCUMENTSU1-AF-01 <br />