2005-11-25_REPORT - M1981068

• Permit No: M1981068
• IBM Index Class Name: Report
• Doc Date: 11/25/2005
• Doc Name: Annual Fee/Report/Map
• From: Grant Bros Const Ltd
• To: DMG
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMff NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
AN~Ni1Ai. FF.F, and RF.Pl7RT RF,niiF,ST
'/Grant Bros Const Ltd
M-1981-068
Loesch Pit
NOV 2 5 20~
October 27, 2005
~ivision of Minem;>,,.,. ba,;;~~.~
$688.00 (Due on or before your anniversary date)
Garfield
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 fhe annual "fee;'a report-and map showing "the exienC-of-c~n•ent-tftsfirlsa a i r r ,
reclamation accomplished to date and during the preceding year, new disturbances that aze 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 ynnr revised written annnal report and annnal report 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 [he following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Dan or Doug Grant
Permittee Name: Grant Bros Const Ltd
Address: P.O. Box 1027
Phone Number:
Fax Number:
Basalt, CO 81621
[phone]
[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.
Signatu of C~grporat~~,,pOffic r, wn r, or Designee
//- aZPI - t1S
Date
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