REP14122

• Permit No: M1978268
• IBM Index Class Name: Report
• Doc Date: 3/22/2002
• Doc Name: 2002 Annual Report
• From: Ouray County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
' ir/
ANNUAL PEE and REPORT REQUEST
Ouray County
M-1978-268
Dallas Gravel Pit
RECEIVED
MAR222001
March 22, 2002
division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Ouray
According to C.R.S. 34-32.5-116 or C.R,S. 34-32-116, each yeaz, 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 yeaz, new disturbances that aze anticipated to
occur during the upcoming yeaz, reclamation that will be performed during the coming yeaz, the dates for the
beginning of active operations, and the date active operations ceased for the yeaz, if any.
Please attach vour revised written annual resort and annual resort man to this form. Please note that 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:. Bob Wolford
Pertnittee Namer Ouray County
Address: P.O. Box 456
Ridgeway, CO 81432
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 aze
enclosed.
i
Signature of Corporate O tcer or Owner
.~'" ~6 liG7p ~_
Date
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