2006-01-30_REPORT - M1981004

• Permit No: M1981004
• IBM Index Class Name: Report
• Doc Date: 1/30/2006
• Doc Name: Annual Fee/Report/Map
• From: Dilleys Sand & Gravel
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMTI' NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
r/ANNiiAi. FF.F. and RF.P(1RT RF.niTFST
Dilleys Sand & Gravel
M-1981-004
Ayers Pit
February 2, 2006
$281.00 (Due on or before your anniversary date)
Morgan

SAN 3 0 2006
Oiuision of Minerals and GeoloAY
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
shalLsubuuLthe_annual_fee,_a_reporLand_map_showing the extent_of.current-dishirhances_to_affected-land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur I
during the upcoming yeaz, 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 rennrt man fn this form. 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:
Permittee Contact: Vemon Dilley
Permittee Name: Dilleys Sand & Gravel
Address: P.O. Box 125
Phone Number:
Fax Number:
1914 Edmunds St.
Brush, CO 80723
[phone]
[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.
-~~i[J.L-PiLr l p~~t <w
Signature of Corporate Officer, er, or Designee
Date