2003-10-06_REPORT - M2001088

• Permit No: M2001088
• 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

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE;
COUNTY:

Gary Rinderle Construction, Inc.
M-2001-OSS
Upland Gravel
October 17, 2003
$281.00 (Due on or before your anniversary date)
Mesa
RECEIV ~®
OCT 0 6 2003
Oivisian of G:,n~+"' and Geology
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 I
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-preceding-year,-new-disturbances-that-are-anticipated-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 ynnr revised written anneal report and anneal re~nnrt man 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: Gary Rinderle
Permittee Name: Gary Rinderle Construction, Inc.
Address: P. O. Box 1380
Clifton, CO 81520-1380
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.
Signature of Corporate Officer, Owner, or Designee
q-,2 3 - v 3
Date
M9PERMITVv1ASTERD000MENTSVN-AF-01