2006-06-14_REPORT - M1976032

• Permit No: M1976032
• IBM Index Class Name: Report
• Doc Date: 6/14/2006
• Doc Name: Annual Fee/Report/Map
• From: Telluride Gravel Inc.
• To: DMG
• 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:
ANNT1Ai, FF.F. and REPORT RF.Oi1F.ST
~Telluride Gravel, Inc.
1/M-1976-032
Alexander Pit
June 17, 2006
''au~ ~ 4 zoos
Division of Minarets and 6aeloay
$688.00 (Due on or before your anniversary date)
San Miguel
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 enerator
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 operatiohs, and the date active operations ceased for the year, if any.
PI ar cry=Mach ynnr revicrd written sonnet ren~rf and anm.al report main this fnrm_ Please note that 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:
Permittee Contact: Greg Homan, General Manager
Permittee Name: Telluride Gravel, Inc.
Address: P.O. Box U
Cortez, CO 81321
Phone Number:
Fax Number:
[phone]
[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 aze enclosed.
~ ~~- - GE~t. hf !,k .
Signature of orporate Officer,"Owner, or Designee
~ S oG
Date
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