2001-12-19_REPORT - M1984108 ‎(2)‎

• Permit No: M1984108
• IBM Index Class Name: Report
• Doc Date: 12/19/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

III IIIIIIIII IIII III
..
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Western Gravel, Inc.
M-1984-108 I
Olathe Pit
December 14, 2001
$281.00 (Due on or before your anniversary date)
Montrose
According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversary date of
shall submit the annual fee, a report anti map showing the extent of current dis[urbal
reclamation accomplished to date and during the preceding year, new disturbances that _m
during the upcoming year, reclamation that will be performed during the coming year, the t
of active operations, and the date active operations ceased for the year, if any.
adequately labeled map tlmt clearly delineates and includes the above elements may suffice
Division records indicate the following permittee contact information. Please verify
changes:
Permittee Contact: Joseph DeVincentis
Permittee Name: Western Gravel, Inc.
Address: 3001 N. Townsend Ave.
Montrose, CO 81401
Phone Number: (970) 249-243 ]
Fax Number: [phone]

ECEIVED
DEC 1 9 2001
of Minerals and Geology
ie permit, an operator
es to affected land,
anticipated to occur
[es for the beginning
Please note that art
a written report.
make any necessary
If you have additional comments and/or information that should be provided to the
below or attach it to this form along with your written report and map. Annual Report
,~ ~/
Ignature of Corporate Officer or Owner
/,~1-,/~/ ~/
Dale
please provide it
ns are enclosed.
h1: W ERMITN1ASTERD(x l1MEM'SNA-AF-01