2004-03-18_REPORT - M1981207

• Permit No: M1981207
• IBM Index Class Name: Report
• Doc Date: 3/18/2004
• Doc Name: Annual Fee/Report Notice
• From: Western Slope Aggregates
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Western Slope Aggregates
M-1981-207
Blue Pit
March 8, 2004
$688.00 (Due on or before your anniversary date)
Gar£~eld
P°~ y~- o ~
3
RECEIVEp
MAR 18 2004
Divisiuo o! tdinerais & $Iplryy
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 submit the annual fee, a report 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
- -during the upcoming year, recl°mation that will-be performed during the coming year; the dates for tfie beginning - - -
ofactive operations, and the date active operations ceased for the year, if any.
Please attachynur revised written annual rennrt and annnal rennrt mgp to this form. Please note that an
adequately labeled map [hat 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:
Permittee Contact: William M. Roberts
Permittee Name: Western Slope Aggregates
Address: 014682 State Hwy. 82 /
~:orl3tsx9te ° r73d~f 41wy 133
Carbondale, CO 81623
Phone Number: [phone]
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.
Signature of Corporate Officer, Owner, or Designee
.~' I z-o~!
Date