2007-08-17_REPORT - M1997039

• Permit No: M1997039
• IBM Index Class Name: Report
• Doc Date: 8/17/2007
• Doc Name: Annual Fee/Report/Map
• From: Wyatt Redi-Mix Co
• To: DRMS
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
F~' /
Wyatt Redi-Mix Co
~M-1997-039
Williams/Illinois Gravel Pit
August 12, 2007
~crFIVF_D
~ AUG 17 2001
1
/ pivision of Reclamation,
Mining and Safety
$323.00 (Due on or before your anniversary date)
Jackson
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 to affected land,
reclamation accomphshed Yo date and~uring t}ie preceding year, new disturbances that aie anticipate 'to occur I
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 vour 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 vear and no new chances to
the previous vear's maU are necessarv, then no new maa is required, provided that the Oaerator shall state
this in the Annual Report. 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: Richard F. Wyatt
Permittee Name:
Address:
Wyatt Redi-Mix Co
P.O. Box 1052
Walden, CO 80480
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be
below or attach it to this form along with your written report and map.
/~;~~ J
Signature of Corporate O ~cer, Owner, or Designee
Date T
provided to the Division, please provide it
Annual Report instructions are enclosed.
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