2005-08-29_REPORT - M1987103

• Permit No: M1987103
• IBM Index Class Name: Report
• Doc Date: 8/29/2005
• Doc Name: Annual Fee/Report/Map
• From: Ace West Trucking Inc
• To: DMG
• Media Type: D
• Archive: No

i
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
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ANNiiAi. FF.E and REPORT RF,OiTFCT
A/ce West Trucking, Inc.~~~
~I-1987-103
East Douglas Pit
August 24, 2005
R/~E~EI\/Eii,3
'BUG 2 9 2005
~j Civision of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Rio Blanco
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator
---- =shall-submit the annual fce; a report' and-map showing "tfie extent of-curren~isturbances to a ected and,
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 ynnr revised written anneal red nrt and anneal report m to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffce for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Donald O. Rooks, Jr.
Permittee Name: Ace West Trucking, Inc.
Address: P.O. Box 250
Rangely, CO 81648
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments andfor 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.
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Signature of Corporate Of IDer, O er, or D se g ee
~ -ya"_
Date