2005-09-09_REPORT - M1981112

• Permit No: M1981112
• IBM Index Class Name: Report
• Doc Date: 9/9/2005
• Doc Name: Annual Fee/Report/Map
• From: Builders Aggregate Company Inc
• To: DMG
• Media Type: D
• Archive: No

FtFr~i°i
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Bui ders Aggregate Company, Inc. 4't~_
981-112
Builders Aggr Pit
~S
RECEIVED
EP 0 9 2005
September 1, 2005 .~ Division of Minerals and Gaolegy
$281.00 (Due on or before your anniversary date)
Morgan
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
_ _ shall subn ~Y_tlte_annual~ee, .a_repoct-and-map-showing-the-eactent- of currcnY disturbanccs-to affected- and-" -
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 ym~r revised written anneal report and anneal rennrt ma,T to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may sufftce for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: James S. Miner
Permittee Name: Builders Aggregate Company, Inc.
Address: 915 W. Beaver Ave.
Ft Morgan, CO 80701
_ Phone Number: (_970)_867_6334
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.
gnature of Corporate Officer, Owner, or Designee
yr o? 00.;
Date