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<br />;: <br />. • w ~In1999~^.~. a. • . <br />ANNUAL FEE and REPORT REQUEST RECEIVED <br />PERMITTEE NAME: Parkerson Construction, Inc. ~EC 2 ~ 2~~~ <br />PERMIT NO.: M-1981-229 Division of Minerals end GeolopY <br />OPERATION NAME: Valley Vista Pit <br />ANNIVERSARY DATE: December 18, 2000 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <br />According [o C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of [he permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances [hat are anticipated to <br />occur during [he upcoming year, reclamation that will be performed during the coming year, [he dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report maa to this form. P/ease dote drat an <br />adequately labeled map that clearly delrneares nud inchrdes the above elements may suffice for u written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact Alan Parkerson <br />Permittee Name: Parkerson Construction, Inc. <br />Address: 710 S. 15th St. <br />Grand Junction, CO 81501 <br />Phone Number: (970) 242-8134 <br />Fax Number: (970) 242-8977 <br />If you have additional comments and/or infonation that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and nmap. Annual Report instructions are <br />enclosed. <br />Signature of Corpa ate Officer or Owner <br />Date <br />M'1PERM I"MIASTERDOCUMENTSUm-AF-01 <br />