REP30406

• Permit No: M1977443
• IBM Index Class Name: Report
• Doc Date: 1/14/2004
• Doc Name: 2003 Annual Report and Fee
• From: Hardrock Sand and Gravel
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

R~~I:IVED
JAN1`?~
pirision of Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Hardrock Sand and Gravel
M-19'77-443
Mtwo Pit No 2
November 8, 2003 pivision of Minerals and GeslogY
$281.00 (Due on or before your anniversary date)
Moffat
R~rv~Y~/E®
JAN t ., 2004
According to C.R.S. 3432.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
shall submit th'e annuaT~fee, a report and tna`p suing 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 ynnr revised written sonnet r port and anneal re~nrt man to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffrce jor a written report.
Division records indicate the fo]lowing permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Pat J. Weber
Permittee Name; Hardrock Sand and Gravel
Address: P. O. Box ] 41
Craig, CO 81626
Fax Number: [phone]
99o•st~-S3~
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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Sign re o orpomte Officer, Owner, or Designee
Date
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