2001-04-16_REPORT - M1978283

• Permit No: M1978283
• IBM Index Class Name: Report
• Doc Date: 4/16/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

~ ~-~ • ~ III III'IIIIIIIII III
•+' • Jf/
ANNUAL FEE and REPORT REQUEST RECEIVED
APR 16 2001
PERMITTEE NAME: Walsenburg Sand & Gravel, Inc.
PERMIT NO.: M-1978-283 Division a/Minerals and Ge010'y
OPERATION NAME: Sand Arroyo
ANNIVERSARY DATE: April 24, 2001
ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date)
COUNTY: Huerfano
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, 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 report and annual renort map to this form. Please note [ho! an
adequately labeled map d:at clearly delineates and includes the nbove elements may suffice jor a written
report.
Division records indicate [he following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Evelyn M. Veuani
Permittee Name: Walsenburg Sand & Gravel, Inc.
Address: P.O. Drawer 352
Walsenburg, CO 81089
Phone Number: [phone]
Fax Number. [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. Annual Report instructions are
enclosed.
r ~
Signature ot'Corporate Officer ner
S/-~o -a/
Date
M ~PERMITMASTERDUCUA~MSVN-P.F~01