REP35237

• Permit No: M1981243
• 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

ANNUAL FEE and REPORT REQUEST
F'EB t 5 2002
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Grand Junction Concrete Pipe Co.
M-1981-243
S Fruita Grav Pit
February 16, 2002
RECEIVED
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Mesa
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
shall submit the annual fee, a report and map showing the extent of current disturbances [o affected land,
reclamation accomplished to date ana`during'the preceding-year,-new disturbances that are anticipated tc occur -
during the upcoming year, reclamation [hat will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for [he year, if any.
Please attach your revised written annual report and annual report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since 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 Concrete Pipe Co.
Address: P.O. Box 1849
Phone Number:
Fax Number:
Grand Junction, CO 81502
[phone]
[phone]
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.
-~~~~_
Signature Corporate Officer or Owner
?- /1-2oo`L-
Date
M:~PERMR WIASTERDOCU MENTSN~I-AF-01