REP46103

• Permit No: M1983209
• IBM Index Class Name: Report
• Doc Date: 7/22/2002
• Doc Name: 2002 Annual Report
• From: Western Slope Construction Co
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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RECEI!/ED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Western Slope Construction Co
M-1983-209
Benton Dawson Gravel
July 25, 2002
JUL 2 2 2002
Division of Minerals and Geology
$281.00 (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 pemut, an operator
shall" submif"the annum-fez report-and' map -showing-the-extent-of-current -disturbances-to--affected- land,
reclamation accomplished to date and during the preceding year, new disturbances [hat are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming yeaz, the dates for the beginning
of active operations, and [he date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual report mau to this 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 Jack L. Hawkins
Permittee Name: Western Slope Construction Co
Address: 1221 Hwy. 50
Phone Number:
Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
nature of Corporate Officer or Owner
~-/9- ©a
Date
Delta, CO 81416
[phone]
M:NERMR VNASTERDOCUMENTSVN-AF-OI