2005-05-03_REPORT - M1981235

• Permit No: M1981235
• IBM Index Class Name: Report
• Doc Date: 5/3/2005
• Doc Name: Annual Fee/Report/Map
• From: Webster Sand & Gravel
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

Webster Sand & Gravel
M-1981-235
West Tennessee
April 22, 2005
MAY 0 3 2005
PERMTI'TEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~~
I:iECEIVED
Division oiMinerals and Geology
$688.00 (Due on or before your anniversary date)
Lake
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 adcomplished to date and during the preceding year, new distu'rbarices 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.
ich your-revised written annual report and anmral rennrf m~tn this form. Please note that an
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: Daryl R. Webster
Permittee Name: Webster Sand & Gravel
Address: P.O. Box 541704
Grand Prairie, TX 75054-1704
Phone Number: [phone] ~ Aso i ~4` 1Z, 2-~s~/- b`~~'f3
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.
S' a e of Corporate Officer, Owner, or Designee
~ ZU, ~S
Date