REP36725

• Permit No: M1977022
• IBM Index Class Name: Report
• Doc Date: 4/2/2002
• Doc Name: 2002 Annual Report
• From: Delta Sand & Gravel Company
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

,, - ..
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
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RECEI~IEC b
APR 0 2 2002 4~
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Division of Minerals and Geology ~I
Beka~sanr)-8cfrraveFEomnatry United Companies of Mesa County
M-1977-022
Pit Na 3
March 28, 2002
$281.00 (Due on or before your anniversary date)
Delta
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 accotr[plished to date and during [he preceding year, new disturbances [hat 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. 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: Michael L. Ripp
Permittee Name: Delta Sand & Gravel Company
Address: P.O. Box 103
Delta, CO 81416
Phone Number: [phone]
Fax Number: [phone]
United Companies of Meta Cnunty
PO Box 3609
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 it to this form along with your written report and map. Annual Report instructions are enclosed.
s+'L- 4lU ' ~/C)i~`2 1
[ ature of ate Officer or Owner
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Date
M:V'ERMITNIASTERD000MENTSVN-AF-01