2001-04-17_REPORT - M1981235

• Permit No: M1981235
• IBM Index Class Name: Report
• Doc Date: 4/17/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
PERN1iTTEE NAME:
PF,RMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Webster Sand & Gravel
M-1981-235
West Tennessee
April 22, 2001
$688.00 (Due on or before your anniversary date)
Lake
RECEIVED
APR 1 1 2001
Division of Minerals and Geology
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 year, new disturbances that are anticipated to
occur during [he upcoming year, reclamation that will be performed during [he coming year, the dates for the
beginning of active operations, and the date active operations ceased fur the year, if any.
Please attach vour revised written annual report and annual resort map to this form. Please mote that an
adequately labeled map that clearly delineates crud inchrdes the above elements may sujrce jot a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Charles J. Webster
Permittee Name: Webster Sand & Gravel
Address: 145 S. Toledo Ave.
Leadville. CO 80461
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. ~

of Cglporati: Officer or Owner
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