2003-02-04_REPORT - M1992009

• Permit No: M1992009
• IBM Index Class Name: Report
• Doc Date: 2/4/2003
• Doc Name: Annual Report
• 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:
Gillette Sand and Gravel, Inc.
M-1992-009
Gillette Pit
February 9, 2003
RECEIVEC
FEB 0 4 2003
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Teller
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
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 reRpN and anneal red nrt 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: Mark Yevoli
Permittee Name: Gillette Sand and Gravel, Inc.
Address: 12185 ort Wy.
Littleton, 125 p
__: -Phone Number: _ _ -(303). 200 _ _ - O ~ - p
--- __ - - _-~ _t _ - - - -~-- --_ ~- -- - - - - _ - ---. __ -_
Fax Number: (303) 47 258 "
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach j) to this form along with your written report and map. Annual Report instructions are enclosed.
of

Owner, or Designee
M:~PERMITVv1ASTERD000MENTSVr1-AF-01