REP34344

• Permit No: M1978271
• IBM Index Class Name: Report
• Doc Date: 10/28/2002
• Doc Name: 2002 Annual Report
• From: Asphalt Gravel Products Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:'
COUNTY:
ANNUAL FEE and REPORT REQUEST
Asphalt Gravel Products, Inc.
M-1978-271
RECEIVED
ocrZe ~
Garrett Pit
niG#Bi~Att Ot Mtnttalg aad 6eay9Y
October 30, 2002
$688.00 (Due~on o`r before your anniversary date)
Conejos
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
- stiall'submTth~annuat -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 your revised written annual reuort and annual report map to this farm. 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: Rock I. Southway
Permittee Name: Asphalt Gravel Products, Inc.
Address: 117 White Pine Dr.
Alamosa, CO 81101
Phone Number: [phone]
Fax Number: - - ~ (7I9) 589-5522 - -
If you have additional comments and/or information Chat 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, Ow r, or Designee
/D -~S ~Z
Date
M:~PERMITNIASTERDOCUhtENTS~h1-AF-01