REP49044

• Permit No: M1990094
• IBM Index Class Name: Report
• Doc Date: 11/6/2002
• Doc Name: 2002 Annual Report
• From: Parkerson Construction Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Parkerson Construction, Inc.
M-1990-094
Orchard Grove Ind
November 9, 2002

RECEIVED
NOV 0 6 2002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Mesa
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 l6, each year, on the anniversary date of the permit, an operator
- - shall submit-the annual-fee,-a-report-and-map showing-the-ezten[-af-enrrent-distnrbances iv affected-land;- -
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 vour revised written annual report and annual report map 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 [he following permi[tee contact information. Please verify and make any necessary
changes:
Permittee Contact: Alan Parkerson
Permittee Name: Parkerson Construction, Inc.
Address: 710 S. 15th St,
Grand Junction, CO 81501
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.
Sig~e of Corl rate Officer, Owner, or Designee
Date
M iPERMITMASTERDOCeM EMSVvI-AF-OI