2004-08-14_REPORT - M1994053

• Permit No: M1994053
• IBM Index Class Name: Report
• Doc Date: 8/14/2004
• Doc Name: Annual Fee/Report/Map
• From: Base Products
• To: DMG
• 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, 2004
$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 showing the extent of current disturbances to affected land,
-reclamation-accomplished-to-date-and.during,the_preceding yeaz,_new_disturbances that are anticipated_to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates far the beginning
of active operations, and the date active operations ceased for the year, if any.
Please atfach~nnr revised written annnal relnrt and annnal re~nrt mgp, 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.
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