2003-04-29_REPORT - M1984156

• Permit No: M1984156
• IBM Index Class Name: Report
• Doc Date: 4/29/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Grand County
M-1984-156
Grand Cnty No 201 aka Scholl Gravel Pit
May 29, 2003
$688.00 (Due on or before your anniversary date)
Grand
APR 2 3 20Q3
6iuision ~i Minerals anA Geol0y3e
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 showing-the ezterit of curFem 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 ymn• revised written annual rennrt and annual rgpnrF mat fn 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: M C. Branstetter
Permittee Name: Grand County
Address: 467 E. Topaz Ave.
P.O. Box 9
Granby, CO 80446
`-- 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.
Si iature of Corporate Officer, Owner, or Designee
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Date
M:~PERMITVv1ASTERDOCUMENTSUI-AF-04