2003-06-30_REPORT - M1981014

• Permit No: M1981014
• IBM Index Class Name: Report
• Doc Date: 6/30/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

JUN-I2-03 ;4:53
FROM-Cclorado Division of Minerals & Geology

[phone]
T-74B P GG3/003 F-473
RECEIVED.
JUN 3 02003
Division ~f Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUM. FEE DUE:
COUNTY:
Valco Gumtisoa Concrete Division
M-1981-O1.t
Rozman Pit
.lone 29, 2003
$688.00 (Dwe on or before your anniversary date}
Gunnison
According to C.R.S. 3A-32.5- 116 or C.R.S. 34-32.116, each year, on [he anniversary dam of the permit, an operator
shall submit the annual fee, a report and tttal~ showing the ax[ent of current disturbances ro affected ]and,
reclamation accomplished to date and during the preceding pear, new disrurl.~ances that are anticipated to occur
during the upcoming year, reclamation that will Ix performed during the coming year, vhe dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Plewce attach ?.mm rpvicrdwritten annual rpilnrf and annual rnnnrt man to chic form. Please ante fhat Qn
adequately labeled map that clearly delinemes ar:d ine/rdes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permitrce Contact: Ed Stewart
Permittee Name: Valco Gunnison Concrete Division
Address: P.O. Box 837
Gunnison, CO 81230
Phone Ntunber: (970).641-0951
Fax Ntunber: (970) b41-0954

If you have additional comments and/or information chat should be provided to the Division, please provide it
below or attach it to this form along with your w:.7nen report and map. Annual Repon instructions are enclosed
\ _
Signature of Corporate Officer, Owner, or Designee
J
Date
M:U'EILMITIMASTF.RDOCVMENTSVN-AF-01