2002-01-18_REPORT - M1977222

• Permit No: M1977222
• IBM Index Class Name: Report
• Doc Date: 1/18/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

~~ ~ iii iiiiuiiuiii iii ~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Valco -Rocky Ford Div
M-1977-222
Rocky Ford South Pit
January 25, 2002
RECEIVED
JAN 18 2002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Otero
According to C.R.S. 34-32.5-I 16 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,
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 vaur revised written annual report and annual report map to this form. Please mote tltot art
adequately labeled reap that clearly delineates artd includes the above elements may since for a written report.
Division records indicate the following perrrti[tee contact information, Please verify and make any necessary
changes:
Permittee Contact: Wayne Adams
Permittee Name: Valco -Rocky Ford Div
Address: P.O. Box 550
Rocky Ford, CO 81067
Phone Number: [phone]
- Fax Number: -- -(714)-254-7462 - - - -- - -
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach i[ to [his form along with your written report and map. Annual Report instructions are enclosed.
Q
Signature of Corporate Officer or Owner
(2- (~-O
Date
M1r~PERM rfw7A5TERD000MEM-SNi-AF01