2006-04-04_REPORT - M1981044

• Permit No: M1981044
• IBM Index Class Name: Report
• Doc Date: 4/4/2006
• Doc Name: Annual Fee/Report/Map
• From: Solberg Gravel LLC
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMTI' NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUN"CY:
Solberg Gravel LLC
M-1981-044
Solberg Pit
Apri17, 2006
$688.00 (Due on or before your anniversary date)
El Paso
APR 0, 4 ~
D1YN-Daof NAnerelamid8aul¢fp{
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
__ _ shalLsubmit_the_aunual fPp, a rennrt and_map_showing_the_extenLo~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 Xpur revised written anneal red nrt and anneal report maT to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since far a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Bob Solberg
Permittee Name: Solberg Gravel LLC
Address: 13745 Garrett Rd.
Falcon, CO 80831
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments andlor 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 are enclosed.
Signature of Corporate Of cer, weer, or Designee
Date