2003-08-18_REPORT - M1994053

• Permit No: M1994053
• IBM Index Class Name: Report
• Doc Date: 8/18/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Base Products
M-1994-053
Base Product Gravel Pit 1
September 13, 2003
RECErvED
AUG 18 2003
Division rf Minerals and Geology
$688.00 (Due on or before your anniversary date)
Montrose
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 .-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 ynnr revised written anneal rennrt and annual re nrt man to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Tony F. Appelhanz
Permittee Name: Base Products
Address: 62339 W. LaSalle Rd.
Montrose, CO 81401
Phone Number: [phone]
Fax Number: - - _
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.

Owner,
R- 13 - o'~
Date
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M:~PERMI'nMASTERDOCUMENTSUI-AF-OI