2002-01-30_REPORT - M1977534

• Permit No: M1977534
• IBM Index Class Name: Report
• Doc Date: 1/30/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Mountain Aggregates, Inc.
M-1977-534
Empire Pit
January 30, 2002
RECEIVED
JAN 3 0 2002

Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Clear Creek
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 [he 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 that nt[
adequately labeled map thn[ clenrly delineates and includes the above elements [nay since for a reritten report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: A en
Permittee Name: Mountain Aggregates, Inc.
Address: P.O. Box 535
Castle Rock, CO 80104
Phone Number: [phone]
Fax Number: (303) 6R8-7497
LeRoy Marquez
If you have additional comments and/or information that should be provided [o [he Division, please provide i[
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
Signature f Corporate c ~ r Owner
Date
M WERMIT\MASTERDOCUh1EfYI'SU7~AF-01