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REP31241
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REP31241
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Entry Properties
Last modified
8/25/2016 12:07:17 AM
Creation date
11/27/2007 5:51:28 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1995005
IBM Index Class Name
Report
Doc Date
2/15/2002
Doc Name
2002 Annual Report
Permit Index Doc Type
Annual Fee / Report
Media Type
D
Archive
No
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l~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMI'TTEE NAME: Mountain Region Corporation RECEIVED <br />PERMIT NO.: M-1995-005 FEB 15.2002 <br />OPERATION NAME: Orchard Mesa Aggr Division of Minerals and Geology <br />ANNNERSARY DATE: February 16, 2002 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <br />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 <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />-~ rec(amatio'n accomplished to dale a'nd-during-the'prece-ding year, new distuibances twat are ani~cipate t-3 0 Decal= "- - <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 report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permit[ee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Sandra R. DuCray <br />Permittee Name: Mountain Region Corporation <br />Address: 117 - 29 3/4 Rd. <br />Grand Junction, CO 81503 <br />Phone Number: (303) 242-5461 <br />Fax-Number: _ _(970)-242-678- ------- -- <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 Corporate Office r Owner <br />,? /iz~o z <br />Date <br />M:~PERMI7N4ASTERDOC UM ENTSN~I-AF-01 <br />
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