2007-02-12_REPORT - M1985219

• Permit No: M1985219
• IBM Index Class Name: Report
• Doc Date: 2/12/2007
• Doc Name: Annual Fee/Report/Map
• From: Parkerson Construction Co.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
/I~~ ~~
ANNUAL FEE and REPORT REQUEST
~kerson Construction Co.
M-1985-219
32 Road Pit
March 14, 2007
$$688.00 (Due on or before your anniversary date)
Mesa
RECEIVED
~FEB 12 2001
urvisi n of Reclan~au~~r,
~ing and Safety
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator
._____shall_submit_the-annual'ee,_a_report_and_map_showing_the extent_of-current-disturbances-to_affected land,
reclamation accomplished to date and during the preceding yeaz, 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 report and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to
the previous year's map are necessary, then no new map is required, provided that the Operator shall state
this in the Annual Report. 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: Alan Parkerson
Permittee Name: Parkerson Construction Co.
Address: 710 S. 15th St.
Grand Junction, CO 81501
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 thi form along with your written report and map. Annual Report instructions are enclosed.
ignature of Corporate Officer, Owner, or Designee
v2~7~~
Dat~~