2006-01-12_REPORT - M1978357

• Permit No: M1978357
• IBM Index Class Name: Report
• Doc Date: 1/12/2006
• Doc Name: Annual Fee/Report/Map
• From: Grand Junction Pipe & Supply Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~t~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Grand Junction Pipe & Supply Co.
M-1978-357
Bradbury Pit
January 25, 2006
$688.00 (Due on or before your anniversary date)
Mesa
v.~
RECE~~JE~
JAN 1 2 2006
Oivisv., ~~ <vimerals and Ceofagy
______ _ 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, aerator
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 ynnr revised written anm~al report and annnal report man to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffece for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Edward J. Settle
Permittee Name: Grand Junction Pipe & Supply Co.
Address: P.O. Box 1849
Grand Junction, CO 81502
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.
_~
Signature of orate Officer, Owner, or Designee
~~ ~Oli
Date