2001-12-28_REPORT - M1998084

• Permit No: M1998084
• IBM Index Class Name: Report
• Doc Date: 12/28/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

iii iiiiiiiiiiiu iii
999
ANNUAL FEE and REPORT REQUEST
RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Grand Junction Pipe & Supply Co.
M-1998-084
Whitewater Pit
January 7, 2002
DEC 2 8 2001
DlYision of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Mesa
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According to C.R.S. 34-32.5-1 l6 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 preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation [ha[ will be performed during the coming year, [he dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual resort and annual resort maa to this form. Please note that att
adequately labeled mnp that clearly delineates and includes the above elements may since for a written report.
Division records indicate [he following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Edward J. Settle
Permittee Name: Grand Junction Pipe & Supply Co.
Address: P.O. Box 1849
Grand Junction, CO 81502
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 orpomte Officer or Owner
(Q _2L- 2vo
Date
M 1PERMmMASTERD000MEMS~hLAF~01