2004-11-29_REPORT - M1996050

• Permit No: M1996050
• IBM Index Class Name: Report
• Doc Date: 11/29/2004
• Doc Name: Annual Fee/Report/Map
• From: Reese Contracting
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

..
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
According 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
shall submit the annual fee, a report and map showing the extent of cunent disturbances to affected land,
_-~ - ._ reclamation accomplished to-date and during the_preceding_year, new disturbances_thatare-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 anneal re~nrt and anneal report main, to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Galen Reese
Permittee Name: Reese Contracting
C~ r5
Reese Contracting
M-1996-050
Reese-Logan Sand & Gravel Pit
November 25, 2004
$281.00 (Due on or before your anniversary date)
Logan
~/~ N t~
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Address: P.O. Box 105
Phone Number:
Atwood, CO 80722
[phone]
J~4/77f
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EaxNumber:
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this farm along with your written report and map. Annual Report instructions are enclosed.
Signature of Corpor/te Officer, Owner, or Designee
%/ - ~~~`t
Date