2005-11-28_REPORT - M1981229

• Permit No: M1981229
• IBM Index Class Name: Report
• Doc Date: 11/28/2005
• Doc Name: Annual Fee/Report/Map
• From: Parkerson Construction Inc.
• To: DMG
• Media Type: D
• Archive: No

fIF°~'P~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
AN~NTiAi, FF.F, and RF.PfIRT RF.t7IiF.ST
Parkerson Construction, Inc.
t/M-1981-229
Valley Vista Pit
December 18, 2005
grM
RECEI!/E®
NOV 2 8 20~
~ivision of Minerals and Gealagy
$688.00 (Due on or before your anniversary date)
Mesa
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~ubmik_the_ annual_fee,_a - report_andsnap_ 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 atfarhynnr revised written anneal re~nrt and anneal re~nrt ma=n, to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffece for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes: .
Permittee Contact: Alan Parkerson
Permittee Name: Pazkerson Construction, Inc.
Address: 710 S. 15th St.
Grand Junction, CO 81501
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.
~gnature of Corporate Officer, Owner, or Designee
Date