2005-10-19_REPORT - M2001002

• Permit No: M2001002
• IBM Index Class Name: Report
• Doc Date: 10/19/2005
• Doc Name: Annual Fee/Report/Map
• From: West End Gravel Company Inc
• To: DMG
• Media Type: D
• Archive: No

IT-qCT-2995 D6:07 FRgM-Cularada Division /ot Ninarals Z G/a/o~~loay [phone]
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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME;
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~West End Gravel Company, Inc'
t~lYi-2001-002
Weimer One GravN
T-B63 P.D02/002 P-T33
S SS
.: C._. .~n ~i~p~~
/ecT ~ ~ 2co~
9iulOfen ai Nticaats ~ Gealsgy
September 12, 2005
$688.00 (Due on or before your anniversary date)
Montrose
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 i6, each year, on the anniversary date of the permit, an operator
shall submit the annual fee, a report aml map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding yr, new disturbances that arc 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.
Pl aav n~ttnch vnnr revised written nnnoal tenon and anm~al rnpnrt m }n hiv fnr~ Please note that an
adequately labeled map that clearly delineates end 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:
Permittee Contact: $ob Sutherland
Permittce Name: West End Gravel Company, Inc.
Address: 29703 Hwy. CO-97
P.O. $ox 848
Nucla, CO 81424
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information t}~t should be provided to the Division, please provide it
below or attach it to this form along with yow written report and map. Armuel Rtport instrrtctions are enclosed.
Si of Corporate Officer, ~Ow/n~e7r~or~Designee
C~n'vln~
Date