2001-03-12_REPORT - M1977022

• Permit No: M1977022
• IBM Index Class Name: Report
• Doc Date: 3/12/2001
• Doc Name: Annual Fee/Report Notice
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
RECEIVED
PERMITTEE NAME: Delta Sand & Gravel Company 1 201J�
PERMIT NO.: M-1977-022
OPERATION NAME: Pit No 3 Division at Minerals and GeolagY
ANNIVERSARY DATE: March 28,2001
ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date)
COUNTY: Delta
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 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 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 your revised written annual report and annual report map to this form. Please note the! an
adequately labeled map that clearly delineates and includes the above elements may suffice Jor a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Per mittee Contact: Michael L. Ripp Richard Johnson
Permmittee Name: Delta Sand & Gravel Company United Companies of Mesa County, Inc.
Address: P.O. Box 103 PO Box 3609
Grand Junction, CO 81502
Delta, CO 81416
Phone Number: [phone] (970) 243-4900
Fax Number: [phone] (970) 243-5945
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.
t of Corp ate Offic r Own
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Date
M APER M ITMASTERDOCUNIENT SM.AF-0I