2006-04-24_REPORT - M2002046

• Permit No: M2002046
• IBM Index Class Name: Report
• Doc Date: 4/24/2006
• Doc Name: Annual Fee/Report/Map
• From: Ephemeral Resources LLC
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
L/ ANNTiAT. FF.F, and RF.PnRT RF.nTTRST
~/ Ephemeral Resources, LLC
/M-2002-046
D Road Gravel Pit
April 14, 2006
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v Division of Minerals end panic®~
$688.00 (Due on or before your anniversary date)
Mesa
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 I
-- -shall-submit-the-annual-fee-a-report-and-reap-sh~nving-the-e~ttrt-sf=currertt-disttxbanees-to-affeetad-land; - -
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur I
during the upcoming year, reclamation that will be performed during the coming year, the dates far the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written anmral red nrt and anneal re_pnrf man to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Mark Gardner
Permittee Name: Ephemeral Resources, LLC
Address: 1225 S. 7th St.
Grand Junction, CO 81501
Phone.Number: [phone]__-.._--..-- ~_-->>-_ _y-.-~--_--__.------- ----_---- --- --
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.
Signatur Corporate Offic ,Owner, or Designee
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Date