2004-09-14_REPORT - M2002052

• Permit No: M2002052
• IBM Index Class Name: Report
• Doc Date: 9/14/2004
• Doc Name: Annual Fee/Report/Map
• From: Western Equipment & Truck Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Western Equipment & Truck, Inc.
M-2002-052
Two Rivers Rock
RECEIVEpi.
SEP 1 41004
Division of Minerals and Geology
September 2, 2004
$688.00 (Due on or before your anniversary date)
Weld
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
- reclamation accomplished to date-arrd-duringthe-preceding year,-new-disturbancesYhat are-antioipated 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 report and anneal rPpnrt main 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:
Pennittee Contact: Craig Sparrow
Pennittee Name: Western Equipment & Truck, Inc.
Adclress: 2055 1st Ave.
Greeley, CO 80631
Phone Number:
Fax Number:
[phone]
[phone]
If you have additional comments and/or informafion 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 Lestgnee
Date