2006-12-13_REPORT - M1981229

• Permit No: M1981229
• IBM Index Class Name: Report
• Doc Date: 12/13/2006
• Doc Name: Annual Fee/Report/Map
• From: Parkerson Construction, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
A~ N~NUAL FEE and REPORT REQUEST
~Parkerson Construction, Inc.
/ICI-1981-229
Valley Vista Pit
December 18, 2006
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RECE~~~~~
1vdEC 13 2006
mph ihiisian of Reclame6on,
// Mining and Satery
$$688.00 (Due on or before your anniversary date)
Mesa
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 resort and annual resort map to this form. The Annual Report.
& Fee requirement is not met until we have received the following components: fee, report, and associated
man. If no new disturbances or reclamation have occurred during the arevious vear and uo new chanties to
the previous year's maa are necessary. then no new maa is reuuired, urovided that the Oaerator shall state
this in the Annual Resort. Please note that an adequately labeled map that clearly delineates and includes the
above elements may since for a written report.
Division records indicate the following pernittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Alan Parkerson
Pernittee Name: Parkerson Construction, Inc.
Address: 710 S. 15th St.
Grand Junction, CO 81501
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide
below or attach it to this nn along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or esignee
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