2005-07-12_REPORT - M1980020

• Permit No: M1980020
• IBM Index Class Name: Report
• Doc Date: 7/12/2005
• Doc Name: Annual Fee/Report/Map
• From: ars sand and gravel co. llc
• To: dmg
• Media Type: D
• Archive: No

O6-JUL-2006 10:18 FROM-Colorado Divl6lan of Minerals d Geoloav [phone]
~,1~j~T. FF'.F. and RF.p[lRT RFt1TTFCT
PERMITT'EE NAME: ARS Sand & Gravel Co., LLC
Y-981
PERMIT NO.: M-1980-020
OPERATION NAME: Braley S&G Ph No 1
ANNIVERSARY DATE: July I5, 2005
ANNUAL FEb DUB: $688.00 (Dne on or before your anniversary date)
COUNTY: Douglas
P.003J003 F-990 ~yvl„J
RE~E1V,~®
JUl i p 2005
Division at Minerals and Geology
According roC.R.S. 34-32.5-116 or C.R.S. 3432-116, each year, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and map showing the extent of currettt distazbances to affected land,
reclamation accomplished ro date and during the preceding year, nnw disturbances that are anticipated to occur
during the upcoming yeaz, mclatnadon that will be performed during the cottting year, the dates fnr the beginning
of active operations, and the date acrive operations ceased for the year, if any.
P{gsar ahnrti~mvr revised written annnal ren,Q~j and anmial rm.n~ rt mT-m thix form. p(eas¢ note thus an
adequately labeted map that clearly delineates and fncludes the above elements may suJj'tce for a wrlttea repon.
Division records indicate the following permittee contact information. Please verify and make atry necessary
changes:
Petwittee Contact: Rod McLean
Perntittee Name: ARS Sand & Grravel Co., LLC
c~.0.rell c~(ara~.
Address: 8505 W. Mtn. View Ln.
Littleton, CO 80125
Phone Number: [phone]
Fax Number: [phone]
303 -791-7~{0~
If you halve additional cotnments andlor information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and trap. Annual Report instructions are enclosed.
. ~.
Signature of Corporate Officer, Owner, or Designee
Date