2006-04-24_REPORT - M1987024

• Permit No: M1987024
• IBM Index Class Name: Report
• Doc Date: 4/24/2006
• Doc Name: Annual Fee/Report/Map
• From: Western Gravel Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEI\!E~
PERMTTTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Western Gravel, Inc.
M-1987-024
Corey Gravel Pit #3
April 17, 2006
$688.00 (Due on or before your anniversary date)
Montrose
a~R Z a ~
01YISi0A o1 Minerals and Gcaic~
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each yeaz, on the anniversary date of the permit, an operator I
_ shall submit the annual fee,_a re_port_and~map showing_the_extent of_current_disturbances_to_affected_land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur I
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 ymrr revised written annnal rennrt and annnal rennrt maTtn Chic form- Please note that an
adequately labeled map 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:
Permittee Contact: Judy DeVincentis
Permittee Name: Western Gravel, Inc.
Address: 3001 N. Townsend Ave.
Montrose, CO 81401
Phone Number: [phone] . _. _. .. . _
Fax Number:
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.
Owner, or Designee
Date