2004-04-22_REPORT - M1998104

• Permit No: M1998104
• IBM Index Class Name: Report
• Doc Date: 4/22/2004
• Doc Name: Annual Fee/Report/Map
• From: ACA Products
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ACA Products
M-1998-104
Pine Ridge Pit

R~CE~~E®
~ 212004
April 27, 2004 Division of tvt~t;:,
$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 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 ~nnr revised written annual rennrt and annual report ma„n M this form. 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 permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Jon Hollenbeck
Permittee Name:
Address:
ACA Products
P. O. Box 1887
Buena Vista, CO 81211
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.
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Signature of Corp Officer, Owner, or Designee
Date 1 1