Laserfiche WebLink
J , III I IIIIIIII IIII III ("�Q _ <br /> 999 V <br /> ANNUAL FEE and REPORT REQUEST <br /> RECEIVE® <br /> PERMITTEE NAME: Grand Junction Pipe & Supply Co. Oe' 3 2001 <br /> PERMIT NO.: M-1997-053 <br /> OPERATION NAME: Clifton Water Gravel Pit Division of Minerals and Geology <br /> ANNIVERSARY DATE: October 3,2001 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Mesa <br /> According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-1 16, each year, on the anniversary date of the permit, an operator <br /> shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br /> reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br /> during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br /> of active operations, and the date active operations ceased for the year, if any. <br /> Please attach your revised written annual resort and annual report map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Edward J. Settle <br /> Permittee Name: Grand Junction Pipe & Supply Co. <br /> Address: P.O. Box 1849 <br /> Grand Junction, CO 81502 <br /> Phone Number: (970) 243-4604 <br /> Fax Number: (970) 241-6703 <br /> If you have additional comments and/or information that should be provided to the Division, please provide it <br /> below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br /> Signature of C /orate Officer or Owner <br /> Date <br /> N1'TERMHW ASTERDOCUMENTSW-AF-01 <br />