2007-06-14_REPORT - M2003003

• Permit No: M2003003
• IBM Index Class Name: Report
• Doc Date: 6/14/2007
• Doc Name: Annual Fee/Report/Map
• From: Consolidated Constructors, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

.,
PERMffTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~~RP~
ANNUAL FEE and REPORT REpUEST
;,Eonsolidated Constructors, Inc.
2003-003
Westside Gravel
July 2, 2007
$$688.00 (Due on or before your anniversary date)
La Plata
RECEIVEf3-
~lJUN 14 2007
on of Reclamation,
Nulining and Safety
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- foe,_a-report-and-map -showing-.the-extent-of-current-disturbances-to-af€ected-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 vour revised written annual report and annual report maa to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
maa. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to
the previous vear's man are necessarv, then no new map is required, provided that the Operator shall state
this in the Annual Report. 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 perntittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Joe Kozimor
Permittee Name: Consolidated Constructors, Inc.
Address: P.O. Box 629
Farmington, NM 87499
Phone Number: [phone]
Fax Number: ~505)3a(o_7-77i~
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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 a re f Corporate ffic r, caner, or Designee
~ ~`/ ~
Date