REP31096

• Permit No: M1981207
• IBM Index Class Name: Report
• Doc Date: 2/7/2002
• Doc Name: 2002 Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

i
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Western Slope Aggregates
M-1981-207
Blue Pit
March 8, 2002
RE~~i~~
FFB p ~ ~
DiVlsion o1 Minerals and Gea)~t,t
$688.00 (Due on or before your anniversary date)
Garfield
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,
-- -reclama[ion accomplished'to date-aud-during the preceding year; hew'distarbances-tfiatare anticipated`fo 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 far the year, if any.
Please attach vour revised written annual report and annual report map to 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: William M. Roberts
Permittee Name: Western Slope Aggregates .
Address: P.O. Box 1149
Carbondale, CO 81623
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.
y ~.
Signature of Corporate Officer or Owner
Dale
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