2005-06-06_REPORT - M1994011

• Permit No: M1994011
• IBM Index Class Name: Report
• Doc Date: 6/6/2005
• Doc Name: Annual Fee/Report Notice
• From: west end gravel company
• To: dmg
• Media Type: D
• Archive: No

Annual Fee and Resort Request
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
West End Gravel Company
M-1994011
West End Gravel Pit #1
Apri15, 2005
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JUi~I 0 ti 2C05
!'i~~ieiar. c.` }.::narais & G¢n!ngy
$688.00 (Due on or before your anniversary date)
Montrose
According [o C.RS. 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 accomplished to date and during the proceeding 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 begimtittg of active operations, amd the date active operations ceased for the 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 that may suffice for
a written report.
Division records indicate the following pennittce contact information. Please verify and make any
necessary changes:
Permittee Contact: Bob Sutherland
Permittee Name: West End Gmvel Comparry
Address: P.O. Box 848
Nucla, Co 81424
Phone Number: [phone]
Fax Number: [phone]
If you have arty additional comments and/or information that should be provided to the Divisioq please
provide i[ below or attach it to this form along with your written report and map. Annual Report
instructions are enclosed. '.
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Signature of Corporate Officer, or Designee
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Date