REP44602

• Permit No: M1998105
• IBM Index Class Name: Report
• Doc Date: 8/6/2003
• Doc Name: Annual Fee/Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVE®
AUG 0 6 2003
Division ~f Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Grand Junction Pipe & Supply Co.
M-1998-105
Delta Paving Gravel Pit
August 6, 2003
$688.00 (Due on or before your anniversary date)
Delta
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
- --shatI snbmil-the aimual~fee-a-reportand map showing fhe 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 operations, and the date active operations ceased for the year, if any.
Please attach ynnr revised written anneal retlprt and anneal re~nK mat} 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: Edward J. Settle
Permittee Name: Grand Junction Pipe & Supply Co.
Address: P.O. Box 1849
Grand Junction, CO 81502
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.
Signature of ~ orporate Officer, Owner, or Designee
g-~ -D3
Date
M:~PERMITVNASTERDOCUMENTSVN-AF-01