Laserfiche WebLink
r <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Grand Junction Pipe & Supply Co. <br />PERMIT NO.: M-1978-357 R'FCElVE® <br />OPERATION NAME: Bradbury Pit JqN p 5 20dp <br />ANNNERSARY DATE: January 25, 2002 division o1 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) rals and Geology <br />COUNTY: Mesa <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the pernvt, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />- --reclamation-accomplished-to-date-and-during-the°preceding year,-new-dishtrbances-ihai-are-aaticipaied-to-occur- -- <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual resort and annual report may to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Pemuttee Contact: Edward J. Settle <br />Pennittee Name: Grand Junction Pipe & Supply Co. <br />Address: P.O. Box 1849 <br />Phone Number: <br />Grand Junction, CO 81502 <br />(970)243-4604 <br />Fax Number: <br />(970) 243-6703 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature f Corporate Officer or Owner <br />?~-2ouz <br />Date <br />M:~PERMI7\MASTERD000MENTSU7-AF-01 <br />