2003-10-06_REPORT - M1978287

• Permit No: M1978287
• IBM Index Class Name: Report
• Doc Date: 10/6/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

:ST
RECEiVE®
PERMITTEE NAME: Valco Gunnison Concrete Division
PERMIT NO.: M-1978-287 ~CT ~ b 2003
OPERATION NAME: Vader Pit pivision of Minerals and Gealo9Y
ANNIVERSARY DATE: October 5, 2003
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Gunnison
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-fh"e "annual-fee, -a report and map showing-the ezfent of current-disturbances to affecti;d-land; `---
reclamation accomplished to date and during the preceding 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 beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach yonr revised written annual rem and annual re nn rt maP to this form. Please note Yhat an
adequately labeled map shat clearly delineates and includes the above elements may sufface for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Ed Stewart
Permittee Name: Valco Gunnison Concrete Division
Address: P.O. Box 837
Gunnison, CO 81230
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 this form along with your written report and map. Annual Report instructions are enclosed.
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Signature of Corp7Tor~ate Officer, Owner, or Designee
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Date
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