2004-08-05_REPORT - M1998019

• Permit No: M1998019
• IBM Index Class Name: Report
• Doc Date: 8/5/2004
• Doc Name: Annual Fee/Report/Map
• From: Grand Gravel
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANMiAT. FF.F, and RF.PtTRT RF,nTiF.ST
e~~ ~
RECEI'VE®
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Grand Gravel
M-1998-019
Grand Gravel Pit
August 12, 2004
AUG 0 52004
Division of Minerals end GeelogY
$281.00 (Due ou or before your anniversary date)
Grand
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,
,a rati~rraeci~rnp;ish-ed-ta-date'and-during-thc-preoedingyear~ew fisiurbanees-that-are-anti~ipated-to occw~--~I
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 attaches mgr revised written annual report and anmral rennrt maTtn this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffce for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Richard E. Curry
Permittee Name: Grand Gravel
Address: P.O. Box 566
Phone Number:
Fax Number:
Hotchkiss, CO 81419
[phone]
[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. Annua] Report instructions aze enclosed.
Signature of C orate Officer, O er, or Designee
7~/,~ /o y
Date