2006-04-21_REPORT - M1977197

• Permit No: M1977197
• IBM Index Class Name: Report
• Doc Date: 4/21/2006
• Doc Name: Annual Fee/Report/Map
• From: Hard Rock Paving and Redi-Mix Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~.b~~
CTEE NAME:
I' NO.:
TION NAME:
ERSARY DATE:
1L FEE DUE:
RECEIVED
shall
during
of acti~
ANNilAi. FF.F, and RF.P(1RT RF.tIiTF.CT
Hard Rock Paving &Redi-Mix, Inc.
~NI-1977497
Main Pit
April 21, 2006
t/ APR 2 1 2006
//pivision of Minerals and Gtolo~Y
$688.00'(Due on or before your anniversary date)
Chaffee
g to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
emit the annual fee, a report and map showing the extent of current disturbances to affected land,
on-accomplished-to-date-and-duringahe-preceding year,-new-disturbances-that are-anticipated-to-occur--
e upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
operations, and the date active operations ceased for the year, if any.
irh vonr revised written annual rennet and anm~al re rp~, t map„tn this Tnrm. Please note that an
labeled map that clearly delineates and includes the above elements may since for a written report.
records indicate the following permittee contact information. Please verify and make any necessary
Contact: Denise Gonzales
Name: Hard Rock Paving &Redi-Mix, Inc.
P.O. Box 1720
Canon City, CO 81215-1720
Phone
Fax
[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.
Officer, Owner, or Designee
..2 ~ .~
Date