2007-06-20_REPORT - M1985001

• Permit No: M1985001
• IBM Index Class Name: Report
• Doc Date: 6/20/2007
• Doc Name: Annual Fee/Report/Map
• From: Glacier Gravel Products
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Glacier Gravel Products
~~GF
~- M-1985-001 ~/U/11 Z ~ ~nr
J&JPit D~~o
June 27, 2007 M'ninc
$$281.00 (Due on or before your anniversary date)
La Plata
~~'J
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 an map s `owing t e ex en o Curren -dis ur ances oar ecre -Yan~;°"---
reclamation accomplished to date and during the preceding year, new disturbances that aze 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 vour revised written annual report and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred durine the previous vear and no new changes to
the previous year's man are necessary. then no new map is required. provided that the Operator shall state
this in the Annaal Report. 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 permittee contact information. Please verify and make any necessary
changes:
- - ~ RECEIVED
Permittee Contact: Jim Helmericks
Permittee Name: Glacier Gravel Products
Address: 995 Hwy. 3
Durango, CO 81301
Phone Number:
Fax Number:
[phone]
[phone]
/JUN 2 0 2007
tai'9'rg a...t _etafal.W
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to khis form along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
-- J ~ - ~-7
Date
1J o ~J ~~
~~'-~~