1993-03-31_REPORT - M1976032

• Permit No: M1976032
• IBM Index Class Name: Report
• Doc Date: 3/31/1993
• Doc Name: 112 ANNUAL FEE INVOICE AND REPORT REQUEST
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

•
ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: Telluride Gravel, Inc.
PERMIT NO.: M-1976-032
OPERATION NAME: Alexander Pit
ANNIVERSARY DATE: fag ` June 17,2001
ANNUAL FEE DUE: [00 $ .00(Due on or before your anniversary date)
COUNTY: 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
operator shall submit the annual fee, a report and map showing the extent of current disturbances to a�ffected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticifdated 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 an
adequately labeled Wrap that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes: I
Pennittee Contact: David Ballode
Permittee Name: Telluride Gravel, Inc.
Address: 270 Hwy 625
Telluride, CO 81435-9144
Phone Number: [phone]
Fax Number: [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 are
enclosed.
7L) /
Signature of Corporate Officer or Owner RECEIVED
Dale
JUN152001
Division of Minerals and Geology
M'TERM1PMASTE RDOCUMENTS W-AF-01